NPIMap

Organization Active NPI

Kindred Collaborative Resources, Inc

  • Physical Therapist
  • Largo, MD
National Provider Identifier
1770890378
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870165 Issued in DC
Legal business name
KINDRED COLLABORATIVE RESOURCES, INC
Practice address
1300 Mercantile LN
Suite 124 B & C
Largo, MD 20774-5327
Phone
(301) 563-9833
Fax
(301) 563-9834
NPI assigned
Sep 3, 2010
Last updated
Sep 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Anna M Delgado, MA-SLP
Title
Ceo
Phone
(301) 563-9833

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT870165 DC Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT010000578 DC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP000207 DC

Addresses

Primary practice location

1300 Mercantile LN
Suite 124 B & C
Largo, MD 20774-5327

Mailing address

1300 Mercantile LN
Suite 124 B & C
Largo, MD 20774-5327
Phone (301) 563-9833

National Provider Directory

National Provider Directory
Tax ID family
Kindred Collaborative Resources Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Mercantile Ln
Ste 124
Largo, MD 20774
Phone (301) 563-9833

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1770890378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 124 B & C",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-563-9833",
            "fax_number": "301-563-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 124 B & C",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-563-9833",
            "fax_number": "301-563-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED COLLABORATIVE RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-563-9833",
        "authorized_official_credential": "MA-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870165",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000578",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.