Individual provider Active NPI

Kristin Nause

  • Physical Therapist
  • Timonium, MD
National Provider Identifier
1497822860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18412 Issued in MD
Practice address
9492 Deereco Rd
Timonium, MD 21093-2102
Phone
(410) 308-7182
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 18412 MD Primary

Addresses

Primary practice location

9492 Deereco Rd
Timonium, MD 21093-2102

Mailing address

5 Cooperstown CT
Phoenix, MD 21131-1328
Phone (410) 472-4511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000974 MD Practitioner - Physical Therapist in Private Practice 4880618701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Megan Rich Physical TherapyGroup PAC ID 3779507694, 12 clinicians

Practice addresses (Care Compare)

9492 Deereco Rd
Timonium, MD 21093-2102
Phone (410) 308-7182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18412MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Megan Rich Physical Therapy Physical Therapist CurrentSince Oct 1, 2005 Accepting new patients

Locations

9492 Deereco Rd
Timonium, MD 21093
Phone (410) 308-7182

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497822860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COOPERSTOWN CT",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311328",
            "telephone_number": "410-472-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9492 DEERECO RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932102",
            "telephone_number": "410-308-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUSE",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.