Active NPI
Kimberly McCullagh, P.T.
- Physical Therapist
- Rockville, MD
National Provider Identifier
1801012570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16901
- Practice address
- 9901 Medical Center Dr
Rockville, MD 20850-3357 - Phone
- (301) 279-6123
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 16901 | MD | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Rockville, MD 20850-3357
Mailing address
23504 Elk Grove Ter
Damascus, MD 20872-2907
Phone (301) 528-0922
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16901 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801012570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23504 ELK GROVE TER",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208722907",
"telephone_number": "301-528-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "301-279-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLAGH",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.