Individual provider Active NPI

Kelly Ann Flemming, PTA

  • Physical Therapy Assistant
  • Boonsboro, MD
National Provider Identifier
1831536242
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A3921 Issued in MD
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
A3921MDMDPhysical 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

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.

Verify at the official NPI Registry.