Kimberly Lynn Lord, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19527 Issued in MD

Practice address

2 Colgate Dr
Suite 102
Forest Hill, MD 21050-2624

Phone

(410) 879-7769

Fax

(410) 879-8545

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifebridge Sports Medicine and Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Eldersburg, MD
  • NPI 1578055497
  Medicare reassignment NPD
• Lifebridge Sports Medicine & Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Towson, MD
  • NPI 1699006106
  NPD
• Lifebridge Sports Medicine and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1750966602
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760410922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BELVUE DR",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502509",
            "telephone_number": "410-893-0696",
            "fax_number": "410-893-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 102",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "410-879-7769",
            "fax_number": "410-879-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Lippa, COTA/L
• Jessica Long
• Peyton Alexis Long, RBT
• Lindsay Ann Marie Longo, LCSW-C
• Beth Hickey Lopez
• Ashley Lundon
• Gary M Lynch, P.T.
• Sarah Lynch
• M Medical Group, Inc.
• M Medical Group, Inc.

• Physical Therapist in Forest Hill, MD
• Providers in Forest Hill, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.