Individual provider Active NPI

Aubrie Powell, MOT

  • Occupational Therapist
  • Frederick, MD
National Provider Identifier
1831488956
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2778 Issued in NM
Practice address
4640 Wedgewood Blvd Ste 104
Frederick, MD 21703-7115
Phone
(240) 457-9558
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2778 NM Primary

Addresses

Primary practice location

4640 Wedgewood Blvd Ste 104
Frederick, MD 21703-7115

Mailing address

4640 Wedgewood Blvd Ste 104
Frederick, MD 21703-7115

Other practice location 1

2003 Southern Blvd SE Ste 133
Rio Rancho, NM 87124-3754
Phone (505) 891-3777

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

LicenseStateTypeSpecialty
2778NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Home Care Therapy, Inc. PastSince Dec 10, 2023 Accepting new patients
Hagerstown Home Care Therapy, Inc. PastSince Jan 29, 2023 Accepting new patients
Creative Therapy Services, LLC Past Accepting new patients

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1831488956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 WEDGEWOOD BLVD STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 WEDGEWOOD BLVD STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037115",
            "telephone_number": "240-457-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Southern Blvd SE Ste 133",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871243754",
            "country_code": "US",
            "telephone_number": "505-891-3777",
            "fax_number": "505-821-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AUBRIE",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.