Kevin Orellana, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5719 Issued in MD

Practice address

17902 Georgia Ave Ste 100
Olney, MD 20832-2280

Phone

(301) 774-1789

Fax

(301) 774-1394

NPI assigned

Aug 23, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosaddegh Physical Therapy Inc.

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1316588767
  NPD
• Mosaddegh Physical Therapy Inc

  • Physical Therapist
  • Greenbelt, MD
  • NPI 1376841148
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1003535196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 220",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322279",
            "telephone_number": "240-774-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 100",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322280",
            "telephone_number": "301-774-1789",
            "fax_number": "301-774-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "KEVIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olney Pediatrics PA
• Olney Professional Pharmacy Inc
• Olney Psychiatric and Counseling Center LLC
• One Way Medical, LLC
• Irene Opabajo, LGPC
• Rachel Michele Oringher, PSY.D.
• Marcelle Nadine Ortiz, OTR
• Tracy Orwig, LCSW-C
• Kellie Osborn
• Gerald David Oster, PH.D.

• Physical Therapy Assistant in Olney, MD
• Providers in Olney, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.