Individual provider Active NPI

Ann Kathleen Behrends, PT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1164511663
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT #16204 Issued in MD
Practice address
1010 Wayne Ave Ste 410
Silver Spring, MD 20910-5655
Phone
(240) 600-0177
Fax
(855) 570-3808
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16205 MD
Physical Therapist 225100000X PT #16204 MD Primary

Addresses

Primary practice location

1010 Wayne Ave Ste 410
Silver Spring, MD 20910-5655

Mailing address

33 Appleseed LN
Gaithersburg, MD 20878-2802
Phone (240) 888-2180

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

LicenseStateTypeSpecialty
16204MDMDPharmacist
PT #16204MDMDPhysical Therapist
PT16205MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1164511663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 APPLESEED LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782802",
            "telephone_number": "240-888-2180",
            "fax_number": "301-762-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE STE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105655",
            "telephone_number": "240-600-0177",
            "fax_number": "855-570-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENDS",
        "first_name": "ANN",
        "middle_name": "KATHLEEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "PT16205",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "PT #16204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.