Active NPI
Kiesha Glover, PT
- Physical Therapist
- Gambrills, MD
National Provider Identifier
1770823189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24383
- Practice address
- 983 Waugh Chapel Way Ste a-B
Gambrills, MD 21054-1267 - Phone
- (301) 603-3008
- NPI assigned
- Feb 21, 2013
- 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 | 24383 | MD | Primary |
Addresses
Primary practice location
983 Waugh Chapel Way Ste a-B
Gambrills, MD 21054-1267
Mailing address
146 Hidden Hill Cir
Odenton, MD 21113-4015
Phone (301) 741-7430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
983 Waugh Chapel Way
Suite Ab
Gambrills, MD 21054-1261
Phone (301) 798-4838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24383 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab 2 Perform LLC | Physical Therapist | Current | Accepting new patients |
| KMG Physical Therapy and Consulting LLC | Current | Accepting new patients |
Locations
983 Waugh Chapel Way
Ste Ab
Gambrills, MD 21054
Phone (301) 603-3008
Organizations & group practices 3
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
- Germantown, MD
- NPI 1306251434
-
- Orthopedic Physical Therapist
- Odenton, MD
- NPI 1386348357
-
- Physical Therapist
- Columbia, MD
- NPI 1295618692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1770823189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 HIDDEN HILL CIR",
"city": "ODENTON",
"state": "MD",
"postal_code": "211134015",
"telephone_number": "301-741-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 WAUGH CHAPEL WAY STE A-B",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541267",
"telephone_number": "301-603-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "KIESHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.