Individual provider Active NPI

Cierra Thames

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1194270991
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07936 Issued in MD
Practice address
416 E 30TH St
Baltimore, MD 21218-3934
Phone
(410) 889-0727
Fax
(410) 889-0729
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07936 MD Primary

Addresses

Primary practice location

416 E 30TH St
Baltimore, MD 21218-3934

Mailing address

416 E 30TH St
Baltimore, MD 21218-3934
Phone (410) 889-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627000776 MD Practitioner - Occupational Therapist in Private Practice 7012375884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Occupational Therapist Current Accepting new patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince May 14, 2023 Accepting new patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince May 14, 2023 Accepting new patients
Therafit Enterprises, Inc. Past Accepting new patients

Locations

1220 E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 415-1992

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1194270991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E 30TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183934",
            "telephone_number": "410-889-0727",
            "fax_number": "410-889-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E 30TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183934",
            "telephone_number": "410-889-0727",
            "fax_number": "410-889-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "CIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07936",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.