Paxton Kieley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30853 Issued in MD

Practice address

551 Baltimore Annapolis Blvd # D
Severna Park, MD 21146-3809

Phone

(443) 441-0676

NPI assigned

May 28, 2026

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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1619808672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BALTIMORE ANNAPOLIS BLVD # D",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BALTIMORE ANNAPOLIS BLVD # D",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809",
            "telephone_number": "443-441-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELEY",
        "first_name": "PAXTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Taylor Kepner, LCPC
• Allyson Kett, PSYD
• Tatiana Helene Kettenhofen, LMT
• Kevin L Laser MD
• Amir Hossain Khodabandelou
• Michelle Kim
• Lennee' Maria Kimbell
• Kinesio Physical Therapy and Sports Rehabilitation, LLC
• Paul J Kinsey, DDS
• Lynn Kitzmiller, P.T.

• Physical Therapist in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.