KELLIE ANN STANLEY (NPI# 1104013549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104013549 |
| Entity Type | Individual |
| Full Name | KELLIE ANN STANLEY |
| Credential | OTR/L |
| Practice Address |
3465 Box Hill Corporate Center Dr Ste G Abingdon MD 21009-1261 |
| Mailing Address |
1812 Marsh Rd Store 505 Wilmington DE 19810-4581 |
| Practice Telephone | 4105694806 |
| Practice Fax Number | 4105685474 |
| Mailing Telephone | 3027930432 |
| Mailing Fax Number | 3027930400 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
05678 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS TRICARE | 2191733361 | 01 | |
| CARE FIRST | 92838701 | 01 | |
| IBC AMERIHEALTH | 3316154000 | 01 | |
| CARE FIRST | 5070-0090 | 01 | |
| JOHNS HOPKINS | 214147 | 01 |
| Street Address |
3465 BOX HILL CORPORATE CENTER DR STE G |
| City | ABINGDON |
| State | MD |
| Zip Code | 21009-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366402539 | Joann Marie Gerkin | Registered Nurse | 3465 Box Hill Corporate Center Dr, Abingdon, MD 21009-1261 | 2006-03-23 |
| 1669854451 | Ati Holdings, LLC | Occupational Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2015-06-29 |
| 1679978316 | Brianne Lesia Maheady | Physical Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2014-10-23 |
| 1053727917 | Chimere' Stevenson | Specialist/Technologist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2014-07-10 |
| 1811149917 | Diana Kay Marseglia | Physical Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2008-10-21 |
| 1104034396 | Jyotsna R Supnekar | Occupational Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2007-05-19 |
| 1871628602 | Linda Diane Binder | Physical Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2007-02-22 |
| 1093758468 | Sheryll Dawn Kutcher | Occupational Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2006-06-14 |
| 1639117377 | Harford County Wellness Center | Physical Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2006-06-03 |
| 1285672923 | Melissa Tutas | Physical Therapist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657986 | Cpdg,ab, LLC | Dentist | 3400 Box Hill Corporate Center Drive, Suite 120, Abingdon, MD 21009 | 2017-02-10 |
| 1356734230 | Pardis Parizadeh | Dentist | 3435 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009 | 2015-03-16 |
| 1033529391 | Ademola O Cole | Dentist | 3486 C Emmorton Road, Abingdon, MD 21009 | 2014-05-07 |
| 1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
| 1376964726 | Jessica L Brinegar | Physical Therapist | 3465 Box Hill Corporate Center Dr Ste G, Abingdon, MD 21009 | 2014-01-01 |
| 1790024016 | Pamela S Baer | Psychologist | 3105 Emmorton Road, Abingdon, MD 21009 | 2013-02-06 |
| 1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
| 1306037627 | Jacquelin Landsman | Physical Therapist | Upper Chesapeake Orthopedics: Center for Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 | 2007-08-05 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1750467338 | Michael Kevin Block | Podiatrist | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009 | 2006-10-27 |
| Find all providers in zip 21009 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| 1720525462 | Pioneer Pt LLC | Clinic/Center | 301 Lothian Way, Unit 303, Abingdon, MD 21009-2690 | 2017-01-19 |
| 1174736862 | Abingdon Therapy Services, Inc | Clinic/Center | 220 Cook St E Ste 2, Abingdon, VA 24210-3225 | 2007-05-08 |
| 1710411558 | Innovative Physical Therapy and Fitness Centers LLC | Clinic/Center | 100 Walter Ward Blvd, Unit 200, Abingdon, MD 21009 | 2017-04-19 |
| 1710186853 | Cornerstone Therapy & Balance Center LLC | Clinic/Center | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1417570532 | Beyond Movement Physical Therapy, LLC | Clinic/Center | 47 Loveton Cir Ste P, Sparks, MD 21152-9216 | 2020-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.