Active NPI
Lauren E Kim
- Physical Therapist
- Edgewood, MD
National Provider Identifier
1740518521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22927
- Practice address
- 1812 Pulaski Hwy
Suite B
Edgewood, MD 21040-1697 - Phone
- (443) 372-5300
- Fax
- (443) 372-5810
- NPI assigned
- Dec 7, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22927 | MD | Primary |
Addresses
Primary practice location
1812 Pulaski Hwy
Suite B
Edgewood, MD 21040-1697
Mailing address
400 Haslett Rd
Joppa, MD 21085-4216
Phone (570) 417-1551
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy of Maryland LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Bel Air, MD
- NPI 1144645474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1740518521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HASLETT RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854216",
"telephone_number": "570-417-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 PULASKI HWY",
"address_2": "SUITE B",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210401697",
"telephone_number": "443-372-5300",
"fax_number": "443-372-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LAUREN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.