Organization Active NPI

Kenilworth Therapeutic Services, Inc.

  • Physical Therapist
  • Severna Park, MD
National Provider Identifier
1275684185
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14719 Issued in MD
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

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Angeles, P.T.NPI 1073518635
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20131209000408 MD Part B Supplier - Clinic/Group Practice 5890978951 Receives reassigned benefits from 1 practitioner
Practice locations: Severna Park, MD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.