Individual provider Active NPI

Allison Palank Kesselring, MPT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1699845909
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21453 Issued in MD
Practice address
17 Western Maryland Pkwy
100
Hagerstown, MD 21740-5471
Phone
(301) 797-6389
Fax
(301) 797-4119
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21453 MD Primary
Physical Therapist 225100000X PT023160 PA

Addresses

Primary practice location

17 Western Maryland Pkwy
100
Hagerstown, MD 21740-5471

Mailing address

17 Western Maryland Pkwy
Suite 100
Hagerstown, MD 21740-5471
Phone (301) 797-6389

Other identifiers 4

IdentifierTypeStateIssuer
P00689922OtherMDRR MEDICARE MD
P01286314OtherPARR MEDICARE
94428301OtherMDBCBS LOCAL CAREFIRST KG85
W2660020OtherMDBCBS REGIONAL CAREFIRST W266

Other names 1

  • Allison Marie Palank Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000652 MD Practitioner - Physical Therapist in Private Practice 3678634557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21453MDMDPhysical Therapist
PT023160PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodysense PT, LLC Physical Therapist CurrentSince Apr 7, 2016 Accepting new patients

Locations

6 Tiger Way
Boonsboro, MD 21713
Phone (301) 432-8585

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1699845909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-6389",
            "fax_number": "301-797-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-6389",
            "fax_number": "301-797-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSELRING",
        "first_name": "ALLISON",
        "middle_name": "PALANK",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21453",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE MD",
            "identifier": "P00689922",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01286314",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LOCAL CAREFIRST KG85",
            "identifier": "94428301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REGIONAL CAREFIRST W266",
            "identifier": "W2660020",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "PALANK",
            "middle_name": "MARIE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.