Phyllis Bird, OTR
Individual provider Active NPI Specialist · Westminster, MD
NPI 1306118286 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1306118286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 02568 (MD)
- Practice address
- 505 Old Westminster Pike
Westminster, MD 21157-6279 - Phone
- (410) 871-2990
- Fax
- (410) 871-2990
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02568 | MD | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frankly Communicating, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 02568 | MD | Yes |
Addresses
Primary practice location
505 Old Westminster Pike
Westminster, MD 21157-6279
Mailing address
505 Old Westminster Pike
Westminster, MD 21157-6279
Phone (410) 871-2990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02568 | Other | MD | LICENSE |
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.