Active NPI
With Kids in Mind Therapy Services Inc.
- Pediatric Physical Therapist
- Annapolis, MD
National Provider Identifier
1639574502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 17012
- Legal business name
- WITH KIDS IN MIND THERAPY SERVICES INC.
- Practice address
- 1911 Lincoln Dr
Annapolis, MD 21401-4118 - Phone
- (410) 573-1064
- Fax
- (410) 573-1065
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Michelle Hillmann Prentice, PT
- Title
- Owner
- Phone
- (410) 573-1064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 17012 | MD | Primary |
Addresses
Primary practice location
1911 Lincoln Dr
Annapolis, MD 21401-4118
Mailing address
1911 Lincoln Dr
Annapolis, MD 21401-4118
Phone (410) 573-1064
National Provider Directory
National Provider Directory- Tax ID family
- With Kids in Mind Therapy Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- Annapolis, MD
- NPI 1548449804
Locations
1911 Lincoln Dr
Annapolis, MD 21401
Phone (410) 572-1064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1639574502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 LINCOLN DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014118",
"telephone_number": "410-573-1064",
"fax_number": "410-573-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 LINCOLN DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014118",
"telephone_number": "410-573-1064",
"fax_number": "410-573-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITH KIDS IN MIND THERAPY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "HILLMANN PRENTICE",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-573-1064",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "MD",
"license": "17012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.