Active NPI
Lynn Kitzmiller, P.T.
- Physical Therapist
- Severna Park, MD
National Provider Identifier
1104944388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16422
- Practice address
- 650 Ritchie Hwy
Suite 103
Severna Park, MD 21146-3916 - Phone
- (410) 647-1961
- Fax
- (410) 647-8276
- NPI assigned
- Mar 27, 2007
- 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 | 16422 | MD | Primary |
Addresses
Primary practice location
650 Ritchie Hwy
Suite 103
Severna Park, MD 21146-3916
Mailing address
505 Deerhorn CT
Millersville, MD 21108-1886
Phone (410) 729-5018
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 |
|---|---|---|---|
| 16422 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1104944388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 DEERHORN CT",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081886",
"telephone_number": "410-729-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 RITCHIE HWY",
"address_2": "SUITE 103",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463916",
"telephone_number": "410-647-1961",
"fax_number": "410-647-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITZMILLER",
"first_name": "LYNN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.