Stephanie Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24265 Issued in MD

Practice address

8743 Piney Orchard Pkwy
Suite 105
Odenton, MD 21113-2343

Phone

(410) 672-6077

NPI assigned

Nov 15, 2012

Last updated

May 18, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catonsville Physical Therapy, LLCGroup PAC ID 8921043498, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catonsville Physical Therapy, LLC

  • Physical Therapist
  • Catonsville, MD
  • NPI 1992859516
  Medicare reassignment Care Compare group NPD
• Aquafit Physical Therapy, LLC

  • Physical Therapist
  • Odenton, MD
  • NPI 1386979995
  Medicare reassignment NPD
• McNerney & Associates, P.a.

  • Physical Therapy Clinic/Center
  • Ellicott City, MD
  • NPI 1992830392

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1245574268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8743 PINEY ORCHARD PKWY",
            "address_2": "SUITE 105",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132343",
            "telephone_number": "410-672-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8743 PINEY ORCHARD PKWY",
            "address_2": "SUITE 105",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132343",
            "telephone_number": "410-672-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kelso, MS, LAT, ATC
• Kennedy Krieger Associates
• Kennedy Krieger Associates
• Kennedy Krieger Children's Hospital, Inc. (Kennedy Krieger Institute)
• Kennedy Krieger Children's Hospital, Inc. (Kennedy Krieger Institute)
• Mary Klopcic
• Darren Klotz, PHARMD, MS
• Shanna Klump, CCC-SLP
• KMG Physical Therapy and Consulting LLC
• Alexandra Laurence, PA-C

• Physical Therapist in Odenton, MD
• Providers in Odenton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.