Individual provider Active NPI

Kevin Charles Lorello

  • Physical Therapy Assistant
  • Kensington, MD
National Provider Identifier
1194291765
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A3987 Issued in MD
Practice address
Kensington Park
3620 Littledale Rd
Kensington, MD 20895
Phone
(301) 946-7700
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3987 MD Primary

Addresses

Primary practice location

Kensington Park
3620 Littledale Rd
Kensington, MD 20895

Mailing address

8750 Georgia Ave Apt 222a
Silver Spring, MD 20910-3620
Phone (407) 301-7510

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A3987MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1194291765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 GEORGIA AVE APT 222A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103620",
            "telephone_number": "407-301-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KENSINGTON PARK",
            "address_2": "3620 LITTLEDALE RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-946-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORELLO",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.