Individual provider Active NPI

Abbey Mikutaicis

  • Occupational Therapist
  • Severna Park, MD
National Provider Identifier
1689530966
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10812 Issued in MD
Practice address
820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111
Phone
(441) 481-1140
NPI assigned
Dec 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10812 MD Primary

Addresses

Primary practice location

820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111

Mailing address

3331 Wallford Dr
Dundalk, MD 21222-2748

Other practice location 1

161 Jennifer Rd Ste A
Annapolis, MD 21401-3367
Phone (443) 481-1140

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

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1689530966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 WALLFORD DR",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 RITCHIE HWY STE 100",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464111",
            "telephone_number": "441-481-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Jennifer Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013367",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKUTAICIS",
        "first_name": "ABBEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.