Active NPI
Caitlin Gardiner, OTR/L
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1396012738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06807
- Practice address
- 700 W 40TH St
Baltimore, MD 21211-2140 - Phone
- (301) 909-8117
- NPI assigned
- Nov 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 06807 | MD | Primary |
Addresses
Primary practice location
700 W 40TH St
Baltimore, MD 21211-2140
Mailing address
157 Baltimore St
Cumberland, MD 21502-2472
Phone (301) 722-3215
Other practice location 1
22593 Three Notch Rd
California, MD 20619-3054
Phone (301) 862-2505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06807 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1396012738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-3215",
"fax_number": "301-722-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W 40TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112140",
"telephone_number": "301-909-8117"
}
],
"practiceLocations": [
{
"address_1": "22593 Three Notch Rd",
"address_purpose": "LOCATION",
"city": "California",
"state": "MD",
"postal_code": "206193054",
"country_code": "US",
"telephone_number": "301-862-2505",
"fax_number": "301-862-2548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDINER",
"first_name": "CAITLIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06807",
"primary": true
}
],
"identifiers": [],
"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 Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.