Individual provider Active NPI

Kerry Hickerson Hite, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1427327642
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23809 Issued in MD
Practice address
9194 Red Branch Rd Ste J
Columbia, MD 21045-2005
Phone
(410) 997-2585
Fax
(419) 997-2586
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23809 MD Primary
Orthopedic Physical Therapist 2251X0800X 23809 MD

Addresses

Primary practice location

9194 Red Branch Rd Ste J
Columbia, MD 21045-2005

Mailing address

9194 Red Branch Rd Ste J
Columbia, MD 21045-2005
Phone (410) 997-2585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000650 MD Practitioner - Physical Therapist in Private Practice 5698917821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

9194 Red Branch Rd
Suite J
Columbia, MD 21045-2005
Phone (410) 997-2585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23809MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy and Sports Rehabilitation LLC Orthopedic CurrentSince Apr 12, 2018 Accepting new patients

Locations

9194 Red Branch Rd
Ste J
Columbia, MD 21045
Phone (410) 997-2585

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1427327642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9194 RED BRANCH RD STE J",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452005",
            "telephone_number": "410-997-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 RED BRANCH RD STE J",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452005",
            "telephone_number": "410-997-2585",
            "fax_number": "419-997-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITE",
        "first_name": "KERRY",
        "middle_name": "HICKERSON",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23809",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "23809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.