Active NPI
Kerstin Waltz, OT
- Occupational Therapist
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05519
- Practice address
- 9501 Old Annapolis Rd Ste 125
Ellicott City, MD 21042-6355 - Phone
- (410) 997-1063
- Fax
- (410) 997-1408
- NPI assigned
- Aug 24, 2010
- Last updated
- Dec 18, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 05519 | MD | Primary |
Addresses
Primary practice location
9501 Old Annapolis Rd Ste 125
Ellicott City, MD 21042-6355
Mailing address
9501 Old Annapolis Rd Ste 125
Ellicott City, MD 21042-6355
Phone (410) 997-1063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05519 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Rehabilitation Hospital, Inc. | Occupational Therapist | Current | Accepting new patients |
| National Rehabilitation Hospital, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
9501 Old Annapolis Rd
Ste 125
Ellicott City, MD 21042
Phone (410) 997-1063
20410 Century Blvd
Ste 215
Germantown, MD 20874
Phone (301) 916-8500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedStar Health Physical Therapy at Ellicott City
- Rehabilitation Clinic/Center
- Ellicott City, MD
- NPI 1306223227
Occupational Therapist
-
dba MedStar Health Physical Therapy at Waldorf Marketplace
- Rehabilitation Clinic/Center
- Waldorf, MD
- NPI 1912724246
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1780990150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 OLD ANNAPOLIS RD STE 125",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426355",
"telephone_number": "410-997-1063",
"fax_number": "410-997-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 OLD ANNAPOLIS RD STE 125",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426355",
"telephone_number": "410-997-1063",
"fax_number": "410-997-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTZ",
"first_name": "KERSTIN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.