Active NPI
Kristin Lynn Mende, DPT
- Physical Therapist
- Ellicott City, MD
National Provider Identifier
1811007388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21193
- Practice address
- 4801 Dorsey Hall Dr
Suite 130
Ellicott City, MD 21042-7766 - Phone
- (443) 393-3788
- Fax
- (443) 378-3533
- NPI assigned
- Aug 30, 2006
- 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 | 21193 | MD | Primary |
Addresses
Primary practice location
4801 Dorsey Hall Dr
Suite 130
Ellicott City, MD 21042-7766
Mailing address
6335 Wimbledon CT
Elkridge, MD 21075-5906
Phone (410) 733-3030
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 |
|---|---|---|---|
| 21193 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L. Higgins, M.D., P.C. | Past | 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.
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- Olney, MD
- NPI 1285781229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1811007388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 WIMBLEDON CT",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755906",
"telephone_number": "410-733-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "SUITE 130",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427766",
"telephone_number": "443-393-3788",
"fax_number": "443-378-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDE",
"first_name": "KRISTIN",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.