Diane Lyn Kerr, PT
Individual provider Active NPI Physical Therapist · Marriottsville, MD
NPI 1235232117 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1235232117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16049 (MD)
- Practice address
- 2470 Longstone LN Ste K
Marriottsville, MD 21104-1515 - Phone
- (410) 442-2470
- Fax
- (410) 442-2476
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centers for Advanced Orthopaedics LLC
Practice addresses (Care Compare)
10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880
2470 Longstone LN
Suite K
Marriottsville, MD 21104-1515
Phone (410) 442-2470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040408000912 | MD | Practitioner - Physical Therapist in Private Practice | 2466446968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16049 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current |
Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current |
Accepting new patients |
| J Schlesinger & Associates,P.a. | Physical Therapist | Past | Accepting new patients |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Past | Accepting new patients |
Locations
12143 Clarksville Pike
Ste 101
Clarksville, MD 21029
Phone (443) 230-5339
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
10030 Baltimore National Pike
Ste D180
Ellicott City, MD 21042
2500 Wallington Way
Ste 105
Marriottsville, MD 21104
Phone (410) 442-2470
2470 Longstone Ln
Ste K
Marriottsvl, MD 21104
Phone (410) 442-2470
1311 S Main St
Ste 301
Mount Airy, MD 21771
Phone (301) 607-9096
731 Baltimore Blvd
Westminster, MD 21157
Phone (410) 848-8628
405 N Center St
Ste 28
Westminster, MD 21157
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16049 | MD | Yes |
Addresses
Primary practice location
2470 Longstone LN Ste K
Marriottsville, MD 21104-1515
Mailing address
2910 Beaver Lake CT
Ellicott City, MD 21042-7621
Phone (410) 303-1035
Other practice location 1
10030 Baltimore National Pike Ste D180
Ellicott City, MD 21042-3686
Phone (410) 644-1880
Other providers in Marriottsville, MD
- Eliza Jane Huie
- Amy Innerbichler
- Jennifer Schoo LCSW-C, LLC
- Craig Johnson
- Carla Johnston
- Mahfuzul Haque Khan
- Kindred Hair & Skin Center, LLC
- Chesahna Kindred
- Byung Dal Kum
- Ji Yon Kwon
All providers in Marriottsville, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.