Active NPI
Hali Kuhr Gottesman, OCCUPATIONAL THERAPT
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1154440634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03161
- Practice address
- 6609 Western Run Dr
Baltimore, MD 21215-3117 - Phone
- (410) 764-7913
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 03161 | MD | Primary |
Addresses
Primary practice location
6609 Western Run Dr
Baltimore, MD 21215-3117
Mailing address
6609 Western Run Dr
Baltimore, MD 21215-3117
Phone (410) 764-7913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J363HM | Other | MD | BLUE CROSS BLUE SHIELD |
| 726503400 | Medicaid | MD |
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 |
|---|---|---|---|
| 03161 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154440634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6609 WESTERN RUN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153117",
"telephone_number": "410-764-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6609 WESTERN RUN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153117",
"telephone_number": "410-764-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTESMAN",
"first_name": "HALI",
"middle_name": "KUHR",
"name_prefix": "Mrs.",
"credential": "OCCUPATIONAL THERAPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J363HM",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "726503400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.