Kinross Obiefule, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

110 W Timonium Rd
Timonium, MD 21093-7300

Phone

(410) 616-7755

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Physical Therapy LLCGroup PAC ID 8123205697, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Physical Therapy LLC

  • Specialist
  • Glen Burnie, MD
  • NPI 1336448547

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Klaff Sports Physical Therapy, Inc

  • Physical Therapist
  • Baltimore, MD
  • NPI 1710250303

  Orthopedic

  Medicare reassignment NPD
• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1598338303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W TIMONIUM RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W TIMONIUM RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937300",
            "telephone_number": "410-616-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIEFULE",
        "first_name": "KINROSS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Renee Corr Novak, LAC
• Shondarria Nunn, DPT
• Nurturing Hope, LLC
• Nutrition Connection, LLC (Jennifer Papastephanou)
• Oasis the Mental Health Center, LLC
• Jocelyn C Ocampo, D.D.S.
• Occupational Health Centers of the Southwest PA (Concentra Medical Center)
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Olayinka Olasimbo, PA-C
• Louis Odin Olsen, MD

• Orthopedic Physical Therapist in Timonium, MD
• Providers in Timonium, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.