NPIMap

Organization Active NPI

Outdoor Therapeutics, LLC

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1760146302
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OUTDOOR THERAPEUTICS, LLC
Practice address
12410 Milestone Center Drive
Ste 600- #652
Germantown, MD 20876
Phone
(301) 200-1233
Fax
(866) 703-0009
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Krista Bajgier, LCSW-C, MEDNPI 1720545437
Title
Owner
Phone
(301) 200-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12410 Milestone Center Drive
Ste 600- #652
Germantown, MD 20876

Mailing address

PO Box 711
Frederick, MD 21705
Phone (301) 200-1233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1760146302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21705",
            "telephone_number": "301-200-1233",
            "fax_number": "866-703-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DRIVE",
            "address_2": "STE 600- #652",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20876",
            "telephone_number": "301-200-1233",
            "fax_number": "866-703-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTDOOR THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "BAJGIER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-200-1233",
        "authorized_official_credential": "LCSW-C, MED"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.