Individual provider Active NPI

Phyllis Bird, OTR

  • Specialist
  • Westminster, MD
National Provider Identifier
1306118286
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
02568 Issued in MD
Practice address
505 Old Westminster Pike
Westminster, MD 21157-6279
Phone
(410) 871-2990
Fax
(410) 871-2990
NPI assigned
Feb 7, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 02568 MD Primary

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

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
02568MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Frankly Communicating, Inc PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1306118286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OLD WESTMINSTER PIKE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576279",
            "telephone_number": "410-871-2990",
            "fax_number": "410-871-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OLD WESTMINSTER PIKE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576279",
            "telephone_number": "410-871-2990",
            "fax_number": "410-871-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "PHYLLIS",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "02568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.