Kellie Ann Stanley, OTR/L

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

05678 Issued in MD

Practice address

3465 Box Hill Corporate Center Dr
Ste G
Abingdon, MD 21009-1261

Phone

(410) 569-4806

Fax

(410) 568-5474

NPI assigned

Oct 1, 2007

Last updated

Dec 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Rehab at Home, Inc.Group PAC ID 4486833274, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Rehab at Home, Inc.

  dba Total Rehab at Home

  • Physical Therapist
  • Chesapeake City, MD
  • NPI 1851604482
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1104013549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MARSH RD",
            "address_2": "STORE 505",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104581",
            "telephone_number": "302-793-0432",
            "fax_number": "302-793-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 BOX HILL CORPORATE CENTER DR",
            "address_2": "STE G",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091261",
            "telephone_number": "410-569-4806",
            "fax_number": "410-568-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "05678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asheesh Sood, MD
• Specialized ABA Services LLC
• Bernadette Sroka-Franczkowski
• Taylor Mae Stager
• Angela N Stamidis, RPH
• Stephanie Harding, DDS, P.C. (Affordable Dentures & Implants - Abingdon)
• Renee P Stokes, LCSW-C, CPRP
• Strategic Therapeutic Solutions
• Jyotsna R Supnekar, OTR, CHT
• Supreme Home Care Services Inc.

• Physical Therapy Clinic/Center in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.