Active NPI
Kelsey Jane Wolfe, PT, DPT
- Physical Therapist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28011
- Practice address
- 1013 Bay Ridge Ave Ste 410
Annapolis, MD 21403-3031 - Phone
- (443) 221-7743
- Fax
- (443) 221-7745
- NPI assigned
- May 28, 2015
- 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 | 28011 | MD | Primary |
Addresses
Primary practice location
1013 Bay Ridge Ave Ste 410
Annapolis, MD 21403-3031
Mailing address
1 Staples Rd
Williamsburg, VA 23185-5528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28011 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen Burnie Physical Therapy & Sportscare, LLC | Physical Therapist | Current | Accepting new patients |
| Glen Burnie Physical Therapy & Sportscare, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1013 Bay Ridge Ave
Ste 410
Annapolis, MD 21403
Phone (443) 221-7743
5500 Knoll North Dr
Ste 150
Columbia, MD 21045
Phone (443) 542-0062
14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203
3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
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 and National Provider Directory roles.
-
dba Pivot Physical Therapy of Greater Baltimore
- Physical Therapist
- Columbia, MD
- NPI 1679630073
DC
-
dba Pivot Physical Therapy of Greater Baltimore
- Physical Therapist
- Columbia, MD
- NPI 1417319211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1801275409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STAPLES RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 BAY RIDGE AVE STE 410",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033031",
"telephone_number": "443-221-7743",
"fax_number": "443-221-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "KELSEY",
"middle_name": "JANE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.