Kimberly Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5222 Issued in MD

Practice address

5913 Oakland Rd
Halethorpe, MD 21227-4331

Phone

(631) 835-3257

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Whelan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1285281766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 OAKLAND RD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212274331",
            "telephone_number": "631-835-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 OAKLAND RD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212274331",
            "telephone_number": "631-835-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9109 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211333521",
            "country_code": "US",
            "telephone_number": "410-655-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WHELAN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Huijun Shi, M.D.
• Shannon Shuman
• Sara Waseem Siddiqi, MD
• Shariee Sims
• Gayle Smith
• Matthew Smith
• Melissa Whitney Smith, PHARM.D.
• Patrick Reid Smith, M.D.
• Teresa Smith, OT
• Jeffrey Snyder, LCSW-C

• Physical Therapy Assistant in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.