Individual provider Active NPI

Kristen Renee Parkins, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1497270441
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29391 Issued in MD
Practice address
1407 Research Blvd
Rockville, MD 20850-3159
Phone
(240) 813-1856
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017141 OH
Physical Therapist 225100000X PT026337 PA
Physical Therapist 225100000X 29391 MD Primary

Addresses

Primary practice location

1407 Research Blvd
Rockville, MD 20850-3159

Mailing address

1010 Woodman Dr Ste 110
Dayton, OH 45432-1429
Phone (937) 813-7575

Other practice location 1

1010 Woodman Dr Ste 110
Dayton, OH 45432-1429
Phone (937) 813-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200626000199 PA Practitioner - Physical Therapist in Private Practice 6901178045 Reassigns benefits to 1 organization
I20230608000086 DC Practitioner - Physical Therapist in Private Practice 6901178045 Reassigns benefits to 3 organizations
I20230624000023 MD Practitioner - Physical Therapist in Private Practice 6901178045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

1407 Research Blvd
Rockville, MD 20850-3159
Phone (240) 813-1856

1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996

2634 Brandermill Blvd
Gambrills, MD 21054-1651
Phone (410) 721-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29391MDMDPharmacist
PT026337PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

2634 Brandermill Blvd
Gambrills, MD 21054
Phone (410) 721-7201

1407 Research Blvd
Rockville, MD 20850
Phone (240) 813-1856

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

1680 Zion Rd
Bellefonte, PA 16823
Phone (814) 355-5660

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 7

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1497270441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321429",
            "telephone_number": "937-813-7575",
            "fax_number": "937-813-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 RESEARCH BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503159",
            "telephone_number": "240-813-1856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Woodman Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454321429",
            "country_code": "US",
            "telephone_number": "937-813-7575",
            "fax_number": "937-813-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKINS",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017141",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026337",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.