Individual provider Active NPI

Kellyn Lennon-Chapman, OT/S

  • Occupational Therapist
  • Annapolis, MD
National Provider Identifier
1720716160
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
161 Jennifer Rd Ste a
Annapolis, MD 21401-3367
Phone
(443) 481-1140
NPI assigned
Aug 12, 2022
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 Primary

Addresses

Primary practice location

161 Jennifer Rd Ste a
Annapolis, MD 21401-3367

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230501002794 MD Practitioner - Occupational Therapist in Private Practice 6709241532 Reassigns benefits to 4 organizations
I20230502001990 DC Practitioner - Occupational Therapist in Private Practice 6709241532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annapolis Lymphedema CenterGroup PAC ID 4284605288, 4 clinicians

Practice addresses (Care Compare)

2525 Riva Rd
Suite 130
Annapolis, MD 21401-7437
Phone (410) 266-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09924MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
LHMG Physical Therapy, LLC CurrentSince Apr 18, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 21, 2023 Accepting new patients
LHMG Physical Therapy, LLC Occupational Therapist CurrentSince May 9, 2023 Accepting new patients
Annapolis Lymphedema Center CurrentSince Sep 24, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 21, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
LHMG Physical Therapy, LLC CurrentSince Apr 18, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 21, 2023 Accepting new patients
LHMG Physical Therapy, LLC Occupational Therapist Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 20, 2023 Accepting new patients

Locations

161 Jennifer Rd
Ste A
Annapolis, MD 21401

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2525 Riva Rd
Ste 130
Annapolis, MD 21401
Phone (410) 266-8010

15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1720716160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "443-481-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JENNIFER RD STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013367",
            "telephone_number": "443-481-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON-CHAPMAN",
        "first_name": "KELLYN",
        "credential": "OT/S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.