Active NPI
Kyrel Trim, PT, DPT
- Physical Therapist
- Lanham, MD
National Provider Identifier
1609690007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30203
- Practice address
- 9470 Annapolis Rd
Lanham, MD 20706-3025 - Phone
- (240) 770-9350
- NPI assigned
- Nov 12, 2024
- Sex
- Male
- 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 | 30203 | MD | Primary |
Addresses
Primary practice location
9470 Annapolis Rd
Lanham, MD 20706-3025
Mailing address
11803 Meadowland Dr
Bowie, MD 20720-3580
Phone (813) 392-9331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9470 Annapolis Rd
Suite 310
Lanham, MD 20706-3022
Phone (240) 770-3505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30203 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 310
Lanham, MD 20706
Phone (240) 506-7256
Organizations & group practices 1
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": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1609690007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 MEADOWLAND DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203580",
"telephone_number": "813-392-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9470 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063025",
"telephone_number": "240-770-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIM",
"first_name": "KYREL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-12",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.