Active NPI
Catherine Whelan, LMT, CSTD
- Recreation Therapist
- Annapolis, MD
National Provider Identifier
1093136129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- M055859
- Practice address
- 170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909 - Phone
- (262) 623-0758
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4132 | MT | |
| Recreation Therapist | 225800000X | M055859 | MD | Primary |
Addresses
Primary practice location
170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909
Mailing address
205 Rushley Rd
Arnold, MD 21012-1035
Phone (262) 623-0758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4132 | MT | MD | General Practice Dentistry |
| M055859 | MD | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660348800000",
"number": "1093136129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 RUSHLEY RD",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210121035",
"telephone_number": "262-623-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 JENNIFER RD STE 202",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017909",
"telephone_number": "262-623-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "CATHERINE",
"credential": "LMT, CSTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2022-08-13",
"certification_date": "2022-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "4132",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MD",
"license": "M055859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.