Individual provider Active NPI

Kathryn Anne Nicholson, P.T.

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1225362122
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16464 Issued in MD
Practice address
8701 Georgia Ave
Suite LL 1
Silver Spring, MD 20910-3713
Phone
(301) 587-5333
Fax
(301) 587-3848
NPI assigned
Sep 24, 2009
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16464 MD Primary

Addresses

Primary practice location

8701 Georgia Ave
Suite LL 1
Silver Spring, MD 20910-3713

Mailing address

8701 Georgia Ave
Suite LL 1
Silver Spring, MD 20910-3713
Phone (301) 587-5333

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
16464MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Work Rehabilitation Past Accepting new patients
Motwc Corp. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1225362122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 GEORGIA AVE",
            "address_2": "SUITE LL 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103713",
            "telephone_number": "301-587-5333",
            "fax_number": "301-587-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 GEORGIA AVE",
            "address_2": "SUITE LL 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103713",
            "telephone_number": "301-587-5333",
            "fax_number": "301-587-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16464",
            "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 Sep 24, 2009; 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.