Active NPI
Adrienne Reveal
- Occupational Therapy Assistant
- Baltimore, MD
National Provider Identifier
1700441250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A01942
- Practice address
- 2900 E Lombard St
Baltimore, MD 21224-2223 - Phone
- (949) 933-1468
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01942 | MD | Primary |
Addresses
Primary practice location
2900 E Lombard St
Baltimore, MD 21224-2223
Mailing address
2900 E Lombard St
Baltimore, MD 21224-2223
Phone (949) 933-1468
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01942 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1700441250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 E LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242223",
"telephone_number": "949-933-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 E LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242223",
"telephone_number": "949-933-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVEAL",
"first_name": "ADRIENNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A01942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Irving Michael Reti, M.D.
- Retired and Inspired LLC
- Dorothy J. Reuben, R.N.
- Kristin Reuss, PMHNP-BC, AGAC-NP
- Jameson Patrick Reuter, PHARM.D., BCPS
- Gabriel Alexis Revelo
- Irene Francis Reville, L.C.S.W.-C
- Revitalize Mental Health Center LLC
- Revitalize Mental Health Center LLC
- Revitalize Support Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.