Individual provider Active NPI

Jody Fitch

  • Pediatric Occupational Therapist
  • Westminster, MD
National Provider Identifier
1063900397
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
05667 Issued in MD
Practice address
940F Washington Rd
Westminster, MD 21157-5827
Phone
(410) 871-2990
Fax
(443) 293-8703
NPI assigned
Apr 23, 2018
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05667 MD
Pediatric Occupational Therapist 225XP0200X 05667 MD Primary

Addresses

Primary practice location

940F Washington Rd
Westminster, MD 21157-5827

Mailing address

940F Washington Rd
Westminster, MD 21157-5827
Phone (410) 871-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508000624 MD Practitioner - Occupational Therapist in Private Practice 1153685755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05667MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frankly Communicating, Inc Occupational Therapist CurrentSince May 1, 2018 Accepting new patients
Frankly Communicating, Inc Occupational Therapist CurrentSince Nov 18, 2025 Accepting new patients

Locations

130 Holiday Ct
Ste 104
Annapolis, MD 21401
Phone (410) 871-2990

12442 Owings Mills Blvd
Reisterstown, MD 21136
Phone (410) 871-2990

904 Washington Rd
Ste F
Westminster, MD 21157
Phone (410) 871-2990

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1063900397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940F WASHINGTON RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575827",
            "telephone_number": "410-871-2990",
            "fax_number": "443-293-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940F WASHINGTON RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575827",
            "telephone_number": "410-871-2990",
            "fax_number": "443-293-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "JODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05667",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "05667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.