Active NPI
Heather Knauer Kastanaras, MPT
- Pediatric Physical Therapist
- Columbia, MD
National Provider Identifier
1508084401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 19017
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.