Individual provider Active NPI

Nicole N Kabia-Smith, DPT

  • Physical Therapist
  • Glenn Dale, MD
National Provider Identifier
1023235116
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22206 Issued in MD
Practice address
12200 Annapolis Rd Ste 123
Glenn Dale, MD 20769-9182
Phone
(301) 364-9292
Fax
(301) 552-9743
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22206 MD Primary

Addresses

Primary practice location

12200 Annapolis Rd Ste 123
Glenn Dale, MD 20769-9182

Mailing address

12200 Annapolis Rd Ste 123
Glenn Dale, MD 20769-9182
Phone (301) 364-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140121000123 DC Practitioner - Physical Therapist in Private Practice 9638307689 Reassigns benefits to 2 organizations
I20251029000652 MD Practitioner - Physical Therapist in Private Practice 9638307689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians
Mosaddegh Physical Therapy IncGroup PAC ID 5698952422, 9 clinicians

Practice addresses (Care Compare)

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

6915 Laurel Bowie Rd
Suite 100
Bowie, MD 20715-1715
Phone (240) 245-4245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22206MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Sol Wellness Physical Therapy Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
N-Love Health & Wellness LLC Current Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Mosaddegh Physical Therapy Inc. Physical Therapist PastSince Jan 6, 2025 Accepting new patients

Locations

6915 Laurel Bowie Rd
Ste 100
Bowie, MD 20715
Phone (240) 245-4245

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

17902 Georgia Ave
Ste 220
Olney, MD 20832

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1023235116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 123",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-364-9292",
            "fax_number": "301-552-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 123",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-364-9292",
            "fax_number": "301-552-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABIA-SMITH",
        "first_name": "NICOLE",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.