Active NPI
Kelly Siemek Morrison, PT, MSPT
- Physical Therapist
- Glen Burnie, MD
National Provider Identifier
1821568452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20635
- Practice address
- 1450 Furnace Ave
Glen Burnie, MD 21060 - Phone
- (410) 787-8812
- NPI assigned
- Nov 27, 2018
- 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 | 20635 | MD | Primary |
Addresses
Primary practice location
1450 Furnace Ave
Glen Burnie, MD 21060
Mailing address
7893 Belhaven Ave
Pasadena, MD 21122
Phone (410) 980-6825
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20635 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel County Infants & Toddlers | 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.
-
- Local Education Agency (LEA)
- Glen Burnie, MD
- NPI 1972710242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1821568452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7893 BELHAVEN AVE",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-980-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FURNACE AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21060",
"telephone_number": "410-787-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "KELLY",
"middle_name": "SIEMEK",
"name_prefix": "Mrs.",
"credential": "PT, MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.