Active NPI
Kimberly Dumont Middleton, MSPT
- Physical Therapist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19473
- Practice address
- 10700 Charter Dr Ste 205
Columbia, MD 21044-3687 - Phone
- (443) 546-1575
- NPI assigned
- Mar 8, 2019
- Last updated
- Mar 8, 2019
- 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 | 19473 | MD | Primary |
Addresses
Primary practice location
10700 Charter Dr Ste 205
Columbia, MD 21044-3687
Mailing address
10700 Charter Dr Ste 205
Columbia, MD 21044-3687
Phone (443) 546-1575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800
10700 Charter Dr
Columbia, MD 21044-3687
1132 Annapolis Rd
Suite 101
Odenton, MD 21113-1672
Phone (410) 874-1707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19473 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Physical Therapist | Current | Accepting new patients |
| Midwest Indiana Four Medical Group, PLLC | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
10700 Charter Dr
Ste 205
Columbia, MD 21044
Phone (443) 546-1575
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Organizations & group practices 4
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.
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- NPI 1821819905
Physical Therapist
-
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- Houston, TX
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1114485125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 CHARTER DR STE 205",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443687",
"telephone_number": "443-546-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 CHARTER DR STE 205",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443687",
"telephone_number": "443-546-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "KIMBERLY",
"middle_name": "DUMONT",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.