NPIMap

Individual provider Active NPI

Michael Hunter Kime, DPT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1811242415
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24111 Issued in MD
Practice address
14435 Cherry Lane CT
Suite 100
Laurel, MD 20707-4959
Phone
(301) 776-3665
Fax
(301) 776-6669
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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 24111 MD Primary

Addresses

Primary practice location

14435 Cherry Lane CT
Suite 100
Laurel, MD 20707-4959

Mailing address

14435 Cherry Lane CT
Suite 100
Laurel, MD 20707-4959
Phone (301) 776-3665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121018000372 DC Practitioner - Physical Therapist in Private Practice 5698925105 Reassigns benefits to 1 organization
I20170703001204 MD Practitioner - Physical Therapist in Private Practice 5698925105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Performance Physical Therapy, IncGroup PAC ID 2062324601, 6 clinicians

Practice addresses (Care Compare)

1360 Blair Dr
D
Odenton, MD 21113-1343
Phone (410) 672-8970

14504 Greenview Dr
Suite 106
Laurel, MD 20708-4224
Phone (301) 776-3665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24111MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jul 23, 2012 Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jul 23, 2012 Accepting new patients

Locations

14504 Greenview Dr
Ste 106
Laurel, MD 20708
Phone (301) 776-3665

14435 Cherry Lane Ct
Ste 100
Laurel, MD 20707
Phone (301) 776-3665

1360 Blair Dr
#D
Odenton, MD 21113
Phone (410) 672-8970

1360 Blair Dr
Ste D
Odenton, MD 21113
Phone (410) 672-8970

Organizations & group practices 3

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1811242415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 CHERRY LANE CT",
            "address_2": "SUITE 100",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074959",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 CHERRY LANE CT",
            "address_2": "SUITE 100",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074959",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIME",
        "first_name": "MICHAEL",
        "middle_name": "HUNTER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.