Active NPI
Kayla Margaret Coad
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1790215978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26756
- Practice address
- 6451 N Charles St
Baltimore, MD 21212-1010 - Phone
- (410) 394-7907
- NPI assigned
- Jun 19, 2017
- 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 | 26756 | MD | Primary |
Addresses
Primary practice location
6451 N Charles St
Baltimore, MD 21212-1010
Mailing address
9506 Avondale Rd
Baltimore, MD 21234-3232
Phone (410) 925-1181
Other practice location 1
6451 N Charles St
Baltimore, MD 21212-1010
Phone (410) 394-7907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26756 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supreme Health and Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Reisterstown, MD
- NPI 1881408417
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790215978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9506 AVONDALE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343232",
"telephone_number": "410-925-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121010",
"telephone_number": "410-394-7907"
}
],
"practiceLocations": [
{
"address_1": "6451 N Charles St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212121010",
"country_code": "US",
"telephone_number": "410-394-7907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COAD",
"first_name": "KAYLA",
"middle_name": "MARGARET",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.