Active NPI
Peds Tele OT
Doing business as Children's Therapy Group
- Pediatric Occupational Therapist
- Baltimore, MD
National Provider Identifier
1376156430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- PEDS TELE OT
- Doing business as
- Children's Therapy Group
- Practice address
- 501 E 41St St # 2R
Baltimore, MD 21218-1211 - Phone
- (443) 926-6418
- NPI assigned
- Aug 28, 2020
- Last updated
- May 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Stokes
- Title
- Director
- Phone
- (443) 926-6418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
501 E 41St St # 2R
Baltimore, MD 21218-1211
Mailing address
501 E 41St St 2R
Baltimore, MD 21218-1211
Phone (443) 926-6418
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205184200 | Medicaid | MD | |
| 998025300 | Medicaid | MD |
Other names 1
- Children's Therapy Group
National Provider Directory
National Provider Directory- Tax ID family
- Peds Tele OT
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Children's Therapy Group
- Pediatric Occupational Therapist
- Baltimore, MD
- NPI 1629643721
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Children's Therapy Group
- Pediatric Occupational Therapist
- Baltimore, MD
- NPI 1629643721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685059200000",
"number": "1376156430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E 41ST ST 2R",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181211",
"telephone_number": "443-926-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 41ST ST # 2R",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181211",
"telephone_number": "443-926-6418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDS TELE OT",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A",
"authorized_official_last_name": "STOKES",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "443-926-6418"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205184200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "998025300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Therapy Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.