Individual provider Active NPI

Christina McComb, OT

  • Occupational Therapist
  • Prince Frederick, MD
National Provider Identifier
1689733917
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
02668 Issued in MD
Practice address
130 Hospital Rd
Ste 103
Prince Frederick, MD 20678-4029
Phone
(410) 535-8180
Fax
(410) 535-8325
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 02668 MD
Occupational Therapist 225X00000X 02668 MD Primary

Addresses

Primary practice location

130 Hospital Rd
Ste 103
Prince Frederick, MD 20678-4029

Mailing address

130 Hospital Rd
Ste 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001214 MD Practitioner - Occupational Therapist in Private Practice 2062303282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Center IncGroup PAC ID 2668370065, 18 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02668MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Center, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1689733917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "CHRISTINA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "02668",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "02668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.