Active NPI
Kim Klingenmaier Fletcher, M.S., OTR
- Occupational Therapist
- Annapolis, MD
National Provider Identifier
1659402402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03434
- Practice address
- 2644 Riva Rd
Annapolis, MD 21401-7427 - Phone
- (410) 222-5000
- NPI assigned
- Mar 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 03434 | MD | |
| Occupational Therapist | 225X00000X | 03434 | MD | Primary |
Addresses
Primary practice location
2644 Riva Rd
Annapolis, MD 21401-7427
Mailing address
788 Rolling View Dr
Annapolis, MD 21409-4655
Phone (443) 994-1252
Other practice location 1
1450 Furnace Ave
Glen Burnie, MD 21060-7002
Phone (410) 222-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5094 | Medicaid | MD |
Other names 1
- Ms. Kim Klingenmaier
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03434 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1659402402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 ROLLING VIEW DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214094655",
"telephone_number": "443-994-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2644 RIVA RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017427",
"telephone_number": "410-222-5000"
}
],
"practiceLocations": [
{
"address_1": "1450 Furnace Ave",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210607002",
"country_code": "US",
"telephone_number": "410-222-6911",
"fax_number": "410-222-6916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "KIM",
"middle_name": "KLINGENMAIER",
"name_prefix": "Mrs.",
"credential": "M.S., OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MD",
"license": "03434",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5094",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "KLINGENMAIER",
"prefix": "MS.",
"credential": "M.S., OTR",
"code": "1",
"type": "Former Name"
}
]
}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 Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.