Peter Kenneth Stoll

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09293 Issued in MD

Practice address

10810 Darnestown Rd Ste 102
North Potomac, MD 20878-2604

Phone

(240) 200-5305

NPI assigned

May 5, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro Occupational Therapy LLC

  dba Metro Speech Therapy

  • Occupational Therapist
  • Gaithersburg, MD
  • NPI 1619628641
  NPD (past)

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1164043717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 RESERVE CHAMPION DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505716",
            "telephone_number": "646-373-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 102",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782604",
            "telephone_number": "240-200-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "PETER",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ming Soo Hoo, P.T.
• Special Education Equal Development Society, Inc. (Snail Therapy Center)
• Spring Care LLC
• Shane Foster Steinberg, OTR/L
• Alicia Stern, BCBA
• Courtney Stone, CRNP - PEDIATRICS
• Tender Home Health Care, LLC
• Zahra Mitra Tofighbakhsh
• Donna M Troisi, BCD, LCSW-C
• Jerome J Upchurch, SA-C, CSFA

• Speech-Language Pathologist in North Potomac, MD
• Providers in North Potomac, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.