Individual provider Active NPI

Galya K Elbaum, M.S., OTR/L

  • Pediatric Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1326222084
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
05329 Issued in MD
Practice address
5900 Metro Dr
Baltimore, MD 21215-3207
Phone
(410) 318-6780
Fax
(410) 318-6759
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 05329 MD Primary

Addresses

Primary practice location

5900 Metro Dr
Baltimore, MD 21215-3207

Mailing address

5900 Metro Dr
Baltimore, MD 21215-3207
Phone (410) 318-6780

Other identifiers 3

IdentifierTypeStateIssuer
910507-01OtherMDCAREFIRST BCBS
910507-02OtherMDCAREFIRST BCBS
J175-0036OtherDCCAREFIRST BCBS

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05329MDMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1326222084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 METRO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153207",
            "telephone_number": "410-318-6780",
            "fax_number": "410-318-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 METRO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153207",
            "telephone_number": "410-318-6780",
            "fax_number": "410-318-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAUM",
        "first_name": "GALYA",
        "middle_name": "K",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "05329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "910507-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "910507-02",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "J175-0036",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.