Active NPI
Kathleen Walbrun
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1316688401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09559
- Practice address
- 707 N Broadway
Baltimore, MD 21205-1832 - Phone
- (443) 923-1870
- NPI assigned
- Apr 5, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 09559 | MD | Primary |
Addresses
Primary practice location
707 N Broadway
Baltimore, MD 21205-1832
Mailing address
1741 Ashland Ave
Baltimore, MD 21205-1531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611004707 | MN | Practitioner - Occupational Therapist in Private Practice | 8325510191 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1700 University Ave W
Saint Paul, MN 55104-3727
7505 Metro Blvd
Suite 315
Edina, MN 55439-3020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09559 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1316688401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 ASHLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051832",
"telephone_number": "443-923-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALBRUN",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
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- Walbrook Foot and Ankle ASC, LLC
- Walbrook Medical Center
- Jeffrey Walch, M.D., PH.D.
- James Ronald Walcher, M.D.
- Janet Walczak, C.R.N.P.
- Claire Marie Wald, P.T.
- Benjamin Waldbaum, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.