Individual provider Active NPI

Kristen M O'Hanlon, OT/LT

  • Occupational Therapist
  • Ellicott City, MD
National Provider Identifier
1598004657
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
T00996 Issued in MD
Practice address
3621 Windfall Ter
Ellicott City, MD 21042-4930
Phone
(443) 742-0730
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X T00996 MD Primary

Addresses

Primary practice location

3621 Windfall Ter
Ellicott City, MD 21042-4930

Mailing address

3621 Windfall Ter
Ellicott City, MD 21042-4930
Phone (443) 742-0730

Other names 1

  • Ms. Kristen M Ritz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150720001961 DC Practitioner - Occupational Therapist in Private Practice 1658684600 Reassigns benefits to 1 organization
I20150720002154 MD Practitioner - Occupational Therapist in Private Practice 1658684600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab OT MD LLCGroup PAC ID 4981847977, 60 clinicians

Practice addresses (Care Compare)

6451 N Charles St
Baltimore, MD 21212-1010
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07102MDMDClinical Psychologist
T00996MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab OT MD LLC Occupational Therapist CurrentSince Jul 1, 2015 Accepting new patients

Locations

45 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 868-7121

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 2

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1598004657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 WINDFALL TER",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424930",
            "telephone_number": "443-742-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 WINDFALL TER",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424930",
            "telephone_number": "443-742-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLON",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OT/LT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "T00996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "RITZ",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.