Active NPI
Kristy Recek, MPT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1255379780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20658
- Practice address
- 7672 Belair Rd
Baltimore, MD 21236-4088 - Phone
- (410) 663-6450
- Fax
- (410) 663-6451
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20658 | MD | Primary |
Addresses
Primary practice location
7672 Belair Rd
Baltimore, MD 21236-4088
Mailing address
1004 Barrymore Dr
Bel Air, MD 21014-6973
Phone (410) 663-6450
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4846270001 | Other | MD | DME POS |
| 522248150 | Other | MD | IHP, COVENTRY, UNITED HC |
| 2144336 | Other | MD | OPTIMUM CHOICE |
| PENDING | Medicaid | MD | |
| 350342400 | Other | MD | OWCP |
| 51647 | Other | MD | TRICARE, EHP, PRIORITY PA |
| PENDING | Other | MD | BCBS |
| 2144336 | Other | MD | ALLIANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20658 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holding LLC | Physical Therapist | Past | Accepting new patients |
| Harford County Wellness Center | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Abingdon, MD
- NPI 1639117377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1255379780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 BARRYMORE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210146973",
"telephone_number": "410-663-6450",
"fax_number": "410-663-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7672 BELAIR RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364088",
"telephone_number": "410-663-6450",
"fax_number": "410-663-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECEK",
"first_name": "KRISTY",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME POS",
"identifier": "4846270001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHP, COVENTRY, UNITED HC",
"identifier": "522248150",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "2144336",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "350342400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE, EHP, PRIORITY PA",
"identifier": "51647",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PENDING",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "2144336",
"state": "MD"
}
],
"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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.