Active NPI
Kelly Ann Flemming, PTA
- Physical Therapy Assistant
- Boonsboro, MD
National Provider Identifier
1831536242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3921
- Practice address
- 9 Saint Paul St
3Rd Floor
Boonsboro, MD 21713-1334 - Phone
- (301) 432-8585
- Fax
- (301) 432-1987
- NPI assigned
- May 24, 2013
- Last updated
- May 24, 2013
- 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 Therapy Assistant | 225200000X | A3921 | MD | Primary |
Addresses
Primary practice location
9 Saint Paul St
3Rd Floor
Boonsboro, MD 21713-1334
Mailing address
9 Saint Paul St
3Rd Floor
Boonsboro, MD 21713-1334
Phone (301) 432-8585
Other names 1
- Ms. Kelly Ann Biedermann
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 |
|---|---|---|---|
| A3921 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1831536242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SAINT PAUL ST",
"address_2": "3RD FLOOR",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131334",
"telephone_number": "301-432-8585",
"fax_number": "301-432-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SAINT PAUL ST",
"address_2": "3RD FLOOR",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131334",
"telephone_number": "301-432-8585",
"fax_number": "301-432-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMMING",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A3921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "BIEDERMANN",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boonsboro, MD
- Fahrney-Keedy Memorial Home, Inc. (Jone L. Bowman Adult Medical Day Center at Fahmey-Keedy)
- Keith Fanjoy, LCSW-C
- Shannon Marie Fender
- Kenneth Anson Film, DDS
- Michael Fitzgerald
- Edward James Galligan
- Green Valley Therapy, L.L.C.
- Kristen Grim, MSOTR/L
- Kendall Paige Harne, CPHT
- Colleen Moss Harnett, RD, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.