PEDS TELE OT (NPI# 1376156430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376156430 |
| Entity Type | Organization |
| Organization Name | PEDS TELE OT |
| Practice Address |
721 Pin Oak Rd Severna Park MD 21146-3643 |
| Practice Telephone | 4439266418 |
| Mailing Telephone | 4439266418 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | LORI STOKES (OWNER) |
| Authorized Official Telephone | 4439266418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
721 PIN OAK RD |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855865 | Lori Stokes | Occupational Therapy Assistant | 721 Pin Oak Rd, Severna Park, MD 21146-3643 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1316579873 | Brightway Professionals and Associates | Clinic/Center | 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 | 2020-02-12 |
| 1821620881 | Absolutecare Inc | Clinic/Center | 7515 Annapolis Rd Ste 409, Hyattsville, MD 20784-1752 | 2020-02-07 |
| 1689204653 | Empowering Life Group LLP | Clinic/Center | 10410 Kensington Pkwy Ste 103, Kensington, MD 20895-2944 | 2020-01-18 |
| 1376194324 | Living Water Support Services | Clinic/Center | 4300 Forbes Blvd Ste 130, Lanham, MD 20706-4375 | 2019-09-21 |
| 1609437631 | Assistic Care Services Inc. | Clinic/Center | 10117 Tulip Tree Dr, Bowie, MD 20721-3715 | 2019-06-20 |
| 1841854650 | Silver Lining Residential of Maryland | Clinic/Center | 3944 Red Deer Cir, Randallstown, MD 21133-2047 | 2019-04-26 |
| 1376005413 | Millenium Care, Inc | Clinic/Center | 806 Reisterstown Rd Ste 3, Pikesville, MD 21208-4214 | 2019-04-05 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1528569183 | Ark of Rehabilitation Inc | Clinic/Center | 3450 Laurel Fort Meade Rd Ste 212, Laurel, MD 20724-2040 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
Please comment or provide details below to improve the information on PEDS TELE OT.
| 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.