Active NPI
Kenilworth Therapeutic Services, Inc.
- Physical Therapist
- Severna Park, MD
National Provider Identifier
1275684185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14719
- Legal business name
- KENILWORTH THERAPEUTIC SERVICES, INC.
- Practice address
- 760 Ritchie Hwy Ste N7
Severna Park, MD 21146-4128 - Phone
- (443) 906-6070
- Fax
- (443) 906-6050
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Angeles, P.T.
- Title
- Owner
- Phone
- (443) 906-6070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14719 | MD | Primary |
Addresses
Primary practice location
760 Ritchie Hwy Ste N7
Severna Park, MD 21146-4128
Mailing address
760 Ritchie Hwy Ste N7
Severna Park, MD 21146-4128
Phone (443) 906-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7745 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 345-5687
760 Ritchie Hwy
Ste N7
Severna Park, MD 21146
Phone (443) 906-6070
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Severna Park, MD
- NPI 1073518635
-
- Physical Therapist
- Annapolis, MD
- NPI 1356457998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1275684185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 RITCHIE HWY STE N7",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464128",
"telephone_number": "443-906-6070",
"fax_number": "443-906-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 RITCHIE HWY STE N7",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464128",
"telephone_number": "443-906-6070",
"fax_number": "443-906-6050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENILWORTH THERAPEUTIC SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "ANGELES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-906-6070",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "14719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.