Active NPI
Kevin Jacob Levi-Goerlich, DPT
- Physical Therapist
- Timonium, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27257
- Practice address
- 110 W Timonium Rd
Timonium, MD 21093-7300 - Phone
- (410) 616-7755
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- 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 | 27257 | MD | Primary |
Addresses
Primary practice location
110 W Timonium Rd
Timonium, MD 21093-7300
Mailing address
110 W Timonium Rd
Timonium, MD 21093-7300
Phone (410) 616-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Maximum Performance Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Maximum Performance Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
14504 Greenview Dr
Ste 106
Laurel, MD 20708
Phone (301) 776-3665
14435 Cherry Lane Ct
Ste 100
Laurel, MD 20707
Phone (301) 776-3665
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
110 W Timonium Rd
Timonium, MD 21093
Phone (410) 308-4726
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
dba JHCP OB HCGH
- Obstetrics & Gynecology Physician
- Columbia, MD
- NPI 1902503436
-
- Physical Therapist
- Odenton, MD
- NPI 1558522318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1174091169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W TIMONIUM RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210937300",
"telephone_number": "410-616-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W TIMONIUM RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210937300",
"telephone_number": "410-616-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI-GOERLICH",
"first_name": "KEVIN",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-07",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.