Individual provider Active NPI

Shari L Marchese-Kennedy, MPT

  • Pediatric Physical Therapist
  • Columbia, MD
National Provider Identifier
1457481632
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
17389 Issued in MD
Practice address
9256 Bendix Rd
Ste 105/106
Columbia, MD 21045-1840
Phone
(410) 796-8499
Fax
(877) 384-9028
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 17389 MD Primary
Pediatric Physical Therapist 2251P0200X 5501011127 MI

Addresses

Primary practice location

9256 Bendix Rd
Ste 105/106
Columbia, MD 21045-1840

Mailing address

PO Box 1343
Clarkston, MI 48347-1343
Phone (410) 796-8499

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17389MDMDPharmacist
5501011127MIMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginning Pediatric Rehab Inc Pediatrics Past Accepting new patients
New Beginning Pediatric Rehab, Inc. Pediatrics Past Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1457481632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483471343",
            "telephone_number": "410-796-8499",
            "fax_number": "877-384-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD",
            "address_2": "STE 105/106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451840",
            "telephone_number": "410-796-8499",
            "fax_number": "877-384-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE-KENNEDY",
        "first_name": "SHARI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "17389",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501011127",
            "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 Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.