Active NPI
Kathleen Kober, PT
- Physical Therapist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23078
- Practice address
- 187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503 - Phone
- (301) 663-1157
- Fax
- (301) 663-1229
- NPI assigned
- Oct 5, 2009
- Last updated
- Feb 24, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23078 | MD | Primary |
Addresses
Primary practice location
187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503
Mailing address
187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503
Phone (301) 663-1157
Other names 1
- Kathleen Childs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Hill Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
9701 New Church St
Ste 3
Damascus, MD 20872
Phone (301) 253-0896
187 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 378-9421
187 Thomas Johnson Dr
Ste 6
Frederick, MD 21702
Phone (301) 663-1157
Organizations & group practices 1
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": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1417282716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 THOMAS JOHNSON DR",
"address_2": "SUITE 6",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024503",
"telephone_number": "301-663-1157",
"fax_number": "301-663-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 THOMAS JOHNSON DR",
"address_2": "SUITE 6",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024503",
"telephone_number": "301-663-1157",
"fax_number": "301-663-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBER",
"first_name": "KATHLEEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "CHILDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.