Individual provider Active NPI

Joanne I Kassimir, OTR, CHT

  • Occupational Therapist
  • Havre de Grace, MD
National Provider Identifier
1417907783
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08884 Issued in MD
Practice address
555 Concord Street Unit C
Havre de Grace, MD 21078-4258
Phone
(516) 662-6177
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X
Occupational Therapist 225X00000X 08884 MD Primary

Addresses

Primary practice location

555 Concord Street Unit C
Havre de Grace, MD 21078-4258

Mailing address

807A S Union Ave
Havre de Grace, MD 21078-3610
Phone (410) 939-2262

Other practice location 1

12 Newport Dr Ste A
Forest Hill, MD 21050-1758
Phone (410) 838-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008002915 MD Practitioner - Occupational Therapist in Private Practice 8527272947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

2700 Quarry Lake Dr
Baltimore, MD 21209-3742
Phone (410) 377-8900

Merit-based Incentive Payment System (MIPS)

Final score
77.65 of 100Reported as group
Quality
69.72
Promoting interoperability
99
Improvement activities
40
Cost
56.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08884MDMDOccupational Therapist
002060NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith & Prothero Physical Therapy LLC Occupational Therapist CurrentSince Oct 1, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 9, 2025 Accepting new patients
Upper Chesapeake Surgical Associates, LLC CurrentSince Dec 15, 2021 Accepting new patients
Upper Chesapeake Surgical Associates, LLC CurrentSince Dec 15, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 9, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Agape Physical Therapy & Sports Rehabilitation LP CurrentSince Oct 17, 2022 Accepting new patients
Sports Physical Therapy of New York, P.C. Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Empire State Occupational Therapy PC Occupational Therapist Past Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

2304 E Churchville Rd
Bel Air, MD 21015
Phone (410) 734-6556

2012 S Tollgate Rd
Ste 100
Bel Air, MD 21015
Phone (410) 569-5155

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

12 Newport Dr
Ste A
Forest Hill, MD 21050
Phone (410) 838-6808

807A S Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-2262

421 S Union Ave
Ste 201
Hvre de Grace, MD 21078
Phone (443) 843-6360

1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1417907783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807A S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CONCORD STREET UNIT C",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210784258",
            "telephone_number": "516-662-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Newport Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Forest Hill",
            "state": "MD",
            "postal_code": "210501758",
            "country_code": "US",
            "telephone_number": "410-838-9600",
            "fax_number": "410-838-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSIMIR",
        "first_name": "JOANNE",
        "middle_name": "I",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.