NPIMap

Organization Active NPI

Kernan Physical Therapy

Doing business as Kernan Physical Therapy at Woodlawn, at Timonium

  • Orthopedic Physical Therapist
  • Baltimore, MD
National Provider Identifier
1750476818
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
KERNAN PHYSICAL THERAPY
Doing business as
Kernan Physical Therapy at Woodlawn, at Timonium
Practice address
3104 Lord Baltimore Dr
Executive Park West Ste 100
Baltimore, MD 21244-2898
Phone
(410) 298-0990
Fax
(410) 298-0871
NPI assigned
Oct 4, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SHIPLEY'S PHYSICAL THERAPY CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Lori Patria
Title
Director of Therapy Services
Phone
(410) 298-0990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

3104 Lord Baltimore Dr
Executive Park West Ste 100
Baltimore, MD 21244-2898

Mailing address

PO Box 64744
Baltimore, MD 21264-4744
Phone (410) 298-0990

Other names 1

  • Kernan Physical Therapy at Woodlawn, at Timonium Doing business as

National Provider Directory

National Provider Directory
Part of
Kernan Physical Therapy

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3104 Lord Baltimore Dr
Ste 100
Windsor Mill, MD 21244
Phone (410) 298-0990

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1750476818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64744",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644744",
            "telephone_number": "410-298-0990",
            "fax_number": "410-298-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 LORD BALTIMORE DR",
            "address_2": "EXECUTIVE PARK WEST STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442898",
            "telephone_number": "410-298-0990",
            "fax_number": "410-298-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNAN PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIPLEY'S PHYSICAL THERAPY CENTER, LLC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "PATRIA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY SERVICES",
        "authorized_official_telephone_number": "410-298-0990"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kernan Physical Therapy at Woodlawn, at Timonium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.