Kendra Plummer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

07398 Issued in MD

Practice address

11446 Abbottswood CT
Upper Marlboro, MD 20774-1654

Phone

(202) 246-4926

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Blaising Fit Mom, LLC

  • Occupational Therapist
  • Upper Marlboro, MD
  • NPI 1083472773
  NPD Authorized official

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1760892145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 ABBOTTSWOOD CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741654",
            "telephone_number": "202-246-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 ABBOTTSWOOD CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741654",
            "telephone_number": "202-246-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000982",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Pediatric Therapy Services, LLC
• Physical and Sports Rehab Consultants, LLC
• Tyreis D Pierce, LCSW-C
• Nwoleza Pierre
• Jay Pimble
• Nana Pobee, REGISTERED NURSE
• William Pobee
• Siedah Pompilus
• Latanya Renee Porter
• Potomac Center for Chronic Pain Management and Wellness, LLC

• Occupational Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.