Individual provider Active NPI

Kelli Edwards

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1366012205
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17068 Issued in MD
Practice address
12501 Prosperity Dr
Silver Spring, MD 20904-1689
Phone
(301) 777-2000
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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 17068 MD Primary

Addresses

Primary practice location

12501 Prosperity Dr
Silver Spring, MD 20904-1689

Mailing address

8503 Brent CT
Bowie, MD 20720-4436
Phone (301) 706-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001642 DC Practitioner - Physical Therapist in Private Practice 3476956525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Pain Associates of Prince Georges County PCGroup PAC ID 5799758850, 17 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 201
Greenbelt, MD 20770-2247
Phone (301) 345-5600

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
100
Promoting interoperability
92
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17068MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Pain Associates of Prince Georges County PC Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients
Arthritis & Pain Associates of Prince Georges County PC PastSince Mar 19, 2023 Accepting new patients
Virginia Home Therapy LLC Physical Therapist PastSince Nov 22, 2020 Accepting new patients

Locations

9131 Piscataway Rd
Ste 310
Clinton, MD 20735
Phone (301) 345-5600

7300 Hanover Dr
Ste 201
Greenbelt, MD 20770
Phone (301) 345-5600

Interoperability endpoints

  • Direct secure messaging: kelliedwards@apapgc.allscriptsdirect.net

Organizations & group practices 3

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1366012205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 BRENT CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204436",
            "telephone_number": "301-706-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041689",
            "telephone_number": "301-777-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.

Verify at the official NPI Registry.