Active NPI
Kathleen Keys Valentino, PT
- Physical Therapist
- Easton, MD
National Provider Identifier
1285620864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16474
- Practice address
- 598 Cynwood Dr Ste 101
Easton, MD 21601-3875 - Phone
- (410) 770-9720
- Fax
- (410) 770-9725
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16474 | MD | Primary |
Addresses
Primary practice location
598 Cynwood Dr Ste 101
Easton, MD 21601-3875
Mailing address
659 S Salisbury Blvd Ste 1B
Salisbury, MD 21801-5458
Phone (410) 831-3226
Other practice location 1
8638 Veterans Hwy
1st Floor
Millersville, MD 21108-1422
Phone (410) 295-8900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1107366 | Other | FIRST HEALTH NETWORK | |
| 522052340 | Other | PHCS | |
| 147433401 | Other | US DEPT OF LABOR | |
| 526617-07 | Other | MD | BCBS OF MD |
| T6710005 | Other | DC | BCBS OF DC |
Other names 1
- Kathleen Keys McFadden-Valentino
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16474 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Forum of Maryland, LLC | Physical Therapist | Past | Accepting new patients |
| Fitness Forum of Maryland, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Annapolis, MD
- NPI 1821853441
-
- Rehabilitation Practitioner
- Annapolis, MD
- NPI 1912930835
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1285620864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 S SALISBURY BLVD STE 1B",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015458",
"telephone_number": "410-831-3226",
"fax_number": "410-677-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 CYNWOOD DR STE 101",
"city": "EASTON",
"state": "MD",
"postal_code": "216013875",
"telephone_number": "410-770-9720",
"fax_number": "410-770-9725"
}
],
"practiceLocations": [
{
"address_1": "8638 Veterans Hwy",
"address_2": "1st Floor",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "MD",
"postal_code": "211081422",
"country_code": "US",
"telephone_number": "410-295-8900",
"fax_number": "443-481-6515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTINO",
"first_name": "KATHLEEN",
"middle_name": "KEYS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "1107366",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "522052340",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "147433401",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "526617-07",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC",
"identifier": "T6710005",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "MCFADDEN-VALENTINO",
"middle_name": "KEYS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.