Individual provider Active NPI

Kelsey Jane Wolfe, PT, DPT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1801275409
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28011 Issued in MD
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

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200929000098 DC Practitioner - Physical Therapist in Private Practice 9234558032 Reassigns benefits to 1 organization
I20200929000131 MD Practitioner - Physical Therapist in Private Practice 9234558032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28011MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Sep 22, 2020 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Sep 22, 2020 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.

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.

Verify at the official NPI Registry.