Kehinde Tijani

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

07779 Issued in MD

Practice address

12020 Reisterstown Rd
Reisterstown, MD 21136-3041

Phone

(410) 833-3801

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supreme Health and Rehabilitation Services, LLCGroup PAC ID 3971013863, 7 clinicians

Valuecare CorporationGroup PAC ID 0840688164, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supreme Health and Rehabilitation Services, LLC

  • Occupational Therapist
  • Reisterstown, MD
  • NPI 1881408417
  Medicare reassignment Care Compare group NPD Authorized official
• Valuecare Corporation

  • Physical Therapy Clinic/Center
  • Finksburg, MD
  • NPI 1134757818
  Medicare reassignment Care Compare group NPD
• Sovereignty Health Services LLC

  • Physical Therapy Clinic/Center
  • Randallstown, MD
  • NPI 1629699293
  NPD Authorized official

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1194206102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SPECTATOR LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174444",
            "telephone_number": "410-940-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363041",
            "telephone_number": "410-833-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Benson Ave",
            "address_purpose": "LOCATION",
            "city": "Halethorpe",
            "state": "MD",
            "postal_code": "212271035",
            "country_code": "US",
            "telephone_number": "410-644-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIJANI",
        "first_name": "KEHINDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MD",
            "license": "07779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Denise W Thrope, M.S.
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• Total ENT Care LLC
• Traveling Vein Phlebotomy Services LLC
• Michele K. Trazkovich, M.D.
• Trinity Care Group Inc

• Physical Rehabilitation Occupational Therapist in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Physical Rehabilitation Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.

Verify at the official NPI Registry.