Active NPI
Kristen Trahan Handy, PT
- Physical Therapist
- Severna Park, MD
National Provider Identifier
1609198258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23183
- Practice address
- 645 Baltimore Annapolis Blvd
Suite 111
Severna Park, MD 21146-3931 - Phone
- (410) 544-2500
- Fax
- (410) 384-9703
- NPI assigned
- Feb 24, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23183 | MD | Primary |
Addresses
Primary practice location
645 Baltimore Annapolis Blvd
Suite 111
Severna Park, MD 21146-3931
Mailing address
645 Baltimore Annapolis Blvd
Suite 111
Severna Park, MD 21146-3931
Phone (410) 544-2500
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": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1609198258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 BALTIMORE ANNAPOLIS BLVD",
"address_2": "SUITE 111",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463931",
"telephone_number": "410-544-2500",
"fax_number": "410-384-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BALTIMORE ANNAPOLIS BLVD",
"address_2": "SUITE 111",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463931",
"telephone_number": "410-544-2500",
"fax_number": "410-384-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDY",
"first_name": "KRISTEN",
"middle_name": "TRAHAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.