Active NPI
Avigail Khaver
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1619464237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 31 Walker Ave
Baltimore, MD 21208-4022 - Phone
- (410) 415-3515
- NPI assigned
- Apr 19, 2018
- Last updated
- May 7, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
31 Walker Ave
Baltimore, MD 21208-4022
Mailing address
3317 Marnat Rd
Baltimore, MD 21208-4508
Other practice location 1
6300 Park Heights Ave
Baltimore, MD 21215-2906
Phone (443) 524-3200
Other practice location 2
6300 Smith Ave
Baltimore, MD 21209-2714
Phone (548) 770-0443
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidkinetics Therapy LLC | Past | Accepting new patients | |
| Jewels Therapy Clinic, Inc. | Occupational Therapist | Past | Accepting new patients |
| Jewels School, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Occupational Therapist
- Baltimore, MD
- NPI 1164330965
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1790103638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1619464237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 MARNAT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212084508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 WALKER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212084022",
"telephone_number": "410-415-3515"
}
],
"practiceLocations": [
{
"address_1": "6300 Park Heights Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212152906",
"country_code": "US",
"telephone_number": "443-524-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6300 Smith Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212092714",
"country_code": "US",
"telephone_number": "548-770-0443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAVER",
"first_name": "AVIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.