Individual provider Active NPI

Kathryn Reutemann, PT

  • Physical Medicine & Rehabilitation Physician
  • Germantown, MD
National Provider Identifier
1790093698
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
21268 Issued in MD
Practice address
19847 Century Blvd
205
Germantown, MD 20874-7201
Phone
(301) 515-0900
Fax
(301) 530-1431
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 21268 MD Primary

Addresses

Primary practice location

19847 Century Blvd
205
Germantown, MD 20874-7201

Mailing address

6430 Rockledge Dr
510
Bethesda, MD 20817-1805
Phone (240) 912-2213

Other identifiers 3

IdentifierTypeStateIssuer
21268OtherMDMD. LICENSE
1063669927OtherGROUP NPI
263150124OtherMDTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213000027 DC Practitioner - Physical Therapist in Private Practice 0143457390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19847 Century Blvd
Suite 205
Germantown, MD 20874-7204
Phone (301) 515-0900

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21268MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

6430 Rockledge Dr
Ste 510
Bethesda, MD 20817
Phone (240) 912-2213

19847 Century Blvd
Ste 205
Germantown, MD 20874
Phone (240) 912-2206

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1790093698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR",
            "address_2": "510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171805",
            "telephone_number": "240-912-2213",
            "fax_number": "301-530-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19847 CENTURY BLVD",
            "address_2": "205",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208747201",
            "telephone_number": "301-515-0900",
            "fax_number": "301-530-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTEMANN",
        "first_name": "KATHRYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "21268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD. LICENSE",
            "identifier": "21268",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063669927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "263150124",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.

Verify at the official NPI Registry.