Organization Active NPI

With Kids in Mind Therapy Services Inc.

  • Pediatric Physical Therapist
  • Annapolis, MD
National Provider Identifier
1639574502
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
17012 Issued in MD
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

Updated by the provider on Nov 4, 2014

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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.