NPIMap

Organization Active NPI

Unbridled Rehabilitation Services

  • Occupational Therapist
  • Owings Mills, MD
National Provider Identifier
1801275359
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07466 Issued in MD
Legal business name
UNBRIDLED REHABILITATION SERVICES
Practice address
11419 Cronridge Dr Ste 9
Owings Mills, MD 21117-6283
Phone
(410) 970-2400
Fax
(410) 774-4090
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Katelyn M Roe, MS, OTR/L
Title
Owner, Business Manager
Phone
(410) 970-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 07466 MD Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 04742 MD

Addresses

Primary practice location

11419 Cronridge Dr Ste 9
Owings Mills, MD 21117-6283

Mailing address

11419 Cronridge Dr Ste 9
Owings Mills, MD 21117-6283
Phone (410) 970-2400

Other practice location 1

3750A Shady Ln
Glenwood, MD 21738-9539
Phone (443) 866-3805

Other practice location 2

9439 Merkel Rd
Bowie, MD 20715
Phone (410) 970-2400

Other practice location 3

3244 Danmark Dr
Glenwood, MD 21738-9415
Phone (410) 970-2400

Other practice location 4

17320 Moore Rd
Boyds, MD 20841-9530
Phone (410) 970-2400

Other practice location 5

7613 Dogwood Rd
Windsor Mill, MD 21244-1202
Phone (410) 970-2400

Other identifiers 1

IdentifierTypeStateIssuer
846202000MedicaidMD

Other names 1

  • Unbridled Rehab Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.unbridledrehab.com

National Provider Directory

National Provider Directory

Locations

11419 Cronridge Dr
Ste 9
Owings Mills, MD 21117
Phone (410) 902-7520

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1801275359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 CRONRIDGE DR STE 9",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176283",
            "telephone_number": "410-970-2400",
            "fax_number": "410-774-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11419 CRONRIDGE DR STE 9",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176283",
            "telephone_number": "410-970-2400",
            "fax_number": "410-774-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750A Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "MD",
            "postal_code": "217389539",
            "country_code": "US",
            "telephone_number": "443-866-3805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9439 Merkel Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "20715",
            "country_code": "US",
            "telephone_number": "410-970-2400",
            "fax_number": "410-774-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3244 Danmark Dr",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "MD",
            "postal_code": "217389415",
            "country_code": "US",
            "telephone_number": "410-970-2400",
            "fax_number": "410-774-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17320 Moore Rd",
            "address_purpose": "LOCATION",
            "city": "Boyds",
            "state": "MD",
            "postal_code": "208419530",
            "country_code": "US",
            "telephone_number": "410-970-2400",
            "fax_number": "410-774-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7613 Dogwood Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212441202",
            "country_code": "US",
            "telephone_number": "410-970-2400",
            "fax_number": "410-774-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNBRIDLED REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-02-01",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-970-2400",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07466",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "04742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "846202000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.unbridledrehab.com",
            "affiliation": "N",
            "address_1": "11419 Cronridge Dr Ste 9",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211176283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Unbridled Rehab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Unbridled Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.