Kathleen Barrett
Individual provider Active NPI Occupational Therapist · Leonardtown, MD
NPI 1255707261 · NPPES record last updated Sep 18, 2019
Key facts
- NPI
- 1255707261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 08817 (MD)
- Practice address
- 21585 Peabody St
Leonardtown, MD 20650-2955 - Phone
- (301) 475-8000
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4319 | CO | MD | Massage Therapist |
| 46TR00709100 | NJ | MD | Occupational Therapist |
| 17-0910 | NV | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4319 | CO | |
| Occupational Therapist | 225X00000X | 46TR00709100 | NJ | |
| Occupational Therapist | 225X00000X | 17-0910 | NV | |
| Occupational Therapist | 225X00000X | 08817 | MD | Yes |
Addresses
Primary practice location
21585 Peabody St
Leonardtown, MD 20650-2955
Mailing address
1006 Clearwater Ave
Manahawkin, NJ 08050-2305
Phone (609) 489-3681
Other providers in Leonardtown, MD
- Danyel Baile
- Colleen B Balkam
- Linda Sue Ball
- Martin Alan Barley
- Shannon E. Barr
- Rita M Basista
- Amelia Battaglia
- Daniel J Bauk
- Alexis Anne Bautochka
- Samantha Callyn Becker
All providers in Leonardtown, MD · Occupational 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 Sep 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.