Kelly Thurmond, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5458 Issued in MD

Practice address

4000 River Crescent Dr
Annapolis, MD 21401-7721

Phone

(410) 266-7107

NPI assigned

Feb 20, 2021

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1679167605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BUENA VISTA AVE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121550",
            "telephone_number": "443-974-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RIVER CRESCENT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017721",
            "telephone_number": "410-266-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "KELLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Thompson
• Summer Thompson
• Loc M Thomson, CRNP
• Wendy Thornton, OT
• Three Legged Dog, LLC
• Victoria Thursby
• Kyleen Tice, PT
• Eileen S Tidd, M.D.
• Douglas Gilbert Tilley II, LCSW-C
• Drake Hamilton Tilley Jr., M.D. M.P.H.&T.M.

• Physical Therapy Assistant in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.