Healing and Wellness Center of Kent Island

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

21949 Issued in MD

Legal business name

HEALING AND WELLNESS CENTER OF KENT ISLAND

Practice address

711 Main St
Stevensville, MD 21666-4011

Phone

(410) 604-0900

Fax

(410) 604-0960

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Mikele Mowry, PT, DPT

Title

Doctor

Phone

(410) 604-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Earl Fish, D.C

  • Chiropractor
  • Stevensville, MD
  • NPI 1174683601
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1619279551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LISTMAN CT",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461757",
            "telephone_number": "410-604-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216664011",
            "telephone_number": "410-604-0900",
            "fax_number": "410-604-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AND WELLNESS CENTER OF KENT ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MOWRY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MIKELE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-604-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "21949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Moffitt DDS LLC
• Marian Frances Gregory
• Group One East Behavioral Health
• Meredith Harris, OTR
• Christina Harvey
• Shelby Hembrough
• Linda Ruth Hendrickson, LCSW-C
• Julie Hickson, LCSW-C
• Elizabeth Hollenczer, ATC
• Improvement Zone, LLC

• Physical Medicine & Rehabilitation Physician in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.