Active NPI
Katherine Fitzgerald
- Occupational Therapist
- Bowie, MD
National Provider Identifier
1265092688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08692
- Practice address
- 12603 Kilbourne LN
Bowie, MD 20715-2648 - Phone
- (301) 908-4063
- NPI assigned
- Jun 18, 2019
- Last updated
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08692 | MD | Primary |
Addresses
Primary practice location
12603 Kilbourne LN
Bowie, MD 20715-2648
Mailing address
12603 Kilbourne LN
Bowie, MD 20715-2648
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1265092688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12603 KILBOURNE LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207152648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12603 KILBOURNE LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207152648",
"telephone_number": "301-908-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
- Antoinette Marie Fish, NBC-HWC
- Fit for Life Medical Center Inc
- Fitfusion Wellness Center
- Fitness and Beyond Enterprises
- Darlene Victoria Fitts
- Five Star Quality Care - MD, LLC (HeartFields at Bowie)
- Kala Flagg, MPT, ATC, CSCS
- Flawless Home Health Service, LLC
- Keith Y Fleischmann, DPT
- Mariechantal Fletcher, DNP FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.