Individual provider Active NPI

Kristin Marie Malmquist

  • Physical Therapist
  • Rosedale, MD
National Provider Identifier
1437338811
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20963 Issued in MD
Practice address
8652 Pulaski Hwy
Suite C-1
Rosedale, MD 21237-3051
Phone
(410) 391-9580
Fax
(410) 391-9584
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20963 MD Primary

Addresses

Primary practice location

8652 Pulaski Hwy
Suite C-1
Rosedale, MD 21237-3051

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Kristin Marie Lindenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140912000117 MD Practitioner - Physical Therapist in Private Practice 5193944841 Reassigns benefits to 3 organizations
I20200116002278 DC Practitioner - Physical Therapist in Private Practice 5193944841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bemore Physical Therapy LLCGroup PAC ID 0648605188, 7 clinicians

Practice addresses (Care Compare)

20 New Plant CT
Suite 202
Owings Mills, MD 21117-4185
Phone (443) 440-6469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bemore Physical Therapy, LLC Physical Therapist CurrentSince Aug 4, 2021 Accepting new patients

Locations

20 New Plant Ct
Ste 202
Owings Mills, MD 21117
Phone (443) 440-6469

Organizations & group practices 2

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1437338811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8652 PULASKI HWY",
            "address_2": "SUITE C-1",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373051",
            "telephone_number": "410-391-9580",
            "fax_number": "410-391-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMQUIST",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LINDENBERG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.