Active NPI
Allison Stacy Gurwitz Greenwood, OTR/L, ATP
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1588815500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05623
- Practice address
- 2200 Kernan Dr RM 1427
Baltimore, MD 21207-6665 - Phone
- (410) 448-6896
- Fax
- (410) 448-6791
- NPI assigned
- Oct 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Occupational Therapist | 225X00000X | 05623 | MD | Primary |
Addresses
Primary practice location
2200 Kernan Dr RM 1427
Baltimore, MD 21207-6665
Mailing address
2200 Kernan Dr RM 1427
Baltimore, MD 21207-6665
Phone (410) 448-6896
Other practice location 1
8008 Nightwind Ct
Elkridge, MD 21075-6463
Phone (410) 404-6071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093575100 | Medicaid | MD |
Other names 1
- Allison Stacy Gurwitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424004261 | MD | Practitioner - Occupational Therapist in Private Practice | 9436599495 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8008 Nightwind CT
Elkridge, MD 21075-6463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05623 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1588815500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 KERNAN DR RM 1427",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212076665",
"telephone_number": "410-448-6896",
"fax_number": "410-448-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 KERNAN DR RM 1427",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212076665",
"telephone_number": "410-448-6896",
"fax_number": "410-448-6791"
}
],
"practiceLocations": [
{
"address_1": "8008 Nightwind Ct",
"address_purpose": "LOCATION",
"city": "Elkridge",
"state": "MD",
"postal_code": "210756463",
"country_code": "US",
"telephone_number": "410-404-6071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENWOOD",
"first_name": "ALLISON",
"middle_name": "STACY GURWITZ",
"credential": "OTR/L, ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093575100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "GURWITZ",
"middle_name": "STACY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.