Individual provider Active NPI

Kayla Patrick, PT, DPT

  • Orthopedic Physical Therapist
  • Towson, MD
National Provider Identifier
1093570061
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
29846 Issued in MD
Practice address
8322 Bellona Ave RM 100
Towson, MD 21204-2063
Phone
(410) 337-8847
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 29846 MD Primary

Addresses

Primary practice location

8322 Bellona Ave RM 100
Towson, MD 21204-2063

Mailing address

107 Kenyon CT
Joppa, MD 21085-4738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000767 MD Practitioner - Physical Therapist in Private Practice 3577909837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8322 Bellona Ave
Suite 100
Towson, MD 21204-2065
Phone (410) 337-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29846MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical Regional Professional Services, LLC CurrentSince Feb 14, 2024 Accepting new patients
University of Maryland Medical Regional Professional Services, LLC Orthopedic CurrentSince Feb 14, 2024 Accepting new patients

Locations

4900 N Charles St
Baltimore, MD 21210
Phone (410) 337-4024

5 Bel Air South Pkwy
Ste 1421
Bel Air, MD 21015
Phone (410) 337-1112

10880 Railroad Ave
Cockeysville, MD 21030
Phone (410) 337-8847

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

7801 York Rd
Ste 140
Towson, MD 21204
Phone (410) 337-4024

Organizations & group practices 2

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1093570061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KENYON CT",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE RM 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042063",
            "telephone_number": "410-337-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KAYLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "29846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.