MR. WILLIE J MYRICK (NPI# 1619054152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619054152 |
| Entity Type | Individual |
| Full Name | MR. WILLIE J MYRICK |
| Credential | KT |
| Practice Address |
3900 Loch Raven Blvd Baltimore MD 21218-2108 |
| Mailing Address |
1401 Kitmore Rd Baltimore MD 21239-3410 |
| Practice Telephone | 4106057631 |
| Mailing Telephone | 4104334659 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3900 LOCH RAVEN BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192780 | Sheena Strudwick | Nurse Practitioner | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2005-05-24 |
| 1952908022 | Samantha Yeager | Occupational Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-10-02 |
| 1518574623 | Tehilla Sklare | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-09-23 |
| 1457961369 | Katrina Rogers | Dietitian, Registered | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-08-05 |
| 1285289553 | Marian Laniyan | Nurse Practitioner | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2019-08-05 |
| 1467944157 | Autumn Harper Cohen | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2018-05-30 |
| 1184128639 | Saiah Yates | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2018-03-20 |
| 1205290608 | Courtney Allen | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2016-04-12 |
| 1609232263 | Keyana A Robinson | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2016-01-12 |
| 1538535786 | April Vesely | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2015-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
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| Taxonomy Code | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598061038 | Sharon Taylor-johnson | Kinesiotherapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2011-02-01 |
| 1740376946 | Charlette Simmons Pierce | Kinesiotherapist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-05 |
| 1932295375 | Sheila J. Jackson | Kinesiotherapist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-05 |
| 1164518445 | Jerry W Kraiss | Kinesiotherapist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-05 |
| 1922193887 | Glenn J. Cox | Kinesiotherapist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-04 |
| 1881794527 | Mary Ellen Harris | Kinesiotherapist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-09-23 |
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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.