Individual provider Active NPI

Heather Knauer Kastanaras, MPT

  • Pediatric Physical Therapist
  • Columbia, MD
National Provider Identifier
1508084401
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
19017 Issued in MD
Practice address
8965 Guilford Rd
Suite 160
Columbia, MD 21046-2384
Phone
(410) 796-8499
Fax
(443) 270-8260
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 19017 MD Primary

Addresses

Primary practice location

8965 Guilford Rd
Suite 160
Columbia, MD 21046-2384

Mailing address

3322 Woodside Ave
Baltimore, MD 21234-4843

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1508084401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 WOODSIDE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212344843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 GUILFORD RD",
            "address_2": "SUITE 160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462384",
            "telephone_number": "410-796-8499",
            "fax_number": "443-270-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTANARAS",
        "first_name": "HEATHER",
        "middle_name": "KNAUER",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "19017",
            "primary": true
        }
    ],
    "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 Apr 28, 2008; 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.