Individual provider Active NPI

Kathleen Keys Valentino, PT

  • Physical Therapist
  • Easton, MD
National Provider Identifier
1285620864
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16474 Issued in MD
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

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1107366OtherFIRST HEALTH NETWORK
522052340OtherPHCS
147433401OtherUS DEPT OF LABOR
526617-07OtherMDBCBS OF MD
T6710005OtherDCBCBS OF DC

Other names 1

  • Kathleen Keys McFadden-Valentino Former name

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

LicenseStateTypeSpecialty
16474MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Forum of Maryland, LLC Physical Therapist PastSince Jun 30, 2014 Accepting new patients
Fitness Forum of Maryland, LLC PastSince Feb 18, 2024 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.

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.

Verify at the official NPI Registry.