Active NPI
Marni Lynn Kallins, PT
- Physical Therapist
- Catonsville, MD
National Provider Identifier
1104143858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18958
- Practice address
- 16 Fusting Ave
Catonsville, MD 21228-4413 - Phone
- (410) 747-1800
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18958 | MD | Primary |
Addresses
Primary practice location
16 Fusting Ave
Catonsville, MD 21228-4413
Mailing address
12094 Sand Hill Manor Dr
Marriottsville, MD 21104-1444
Phone (301) 273-5130
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18458 | MD | MD | General Practice Dentistry |
| 18958 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1104143858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12094 SAND HILL MANOR DR",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041444",
"telephone_number": "301-273-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FUSTING AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284413",
"telephone_number": "410-747-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLINS",
"first_name": "MARNI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.