NPIMap

Individual provider Active NPI

Rita Brave King, OTR/L

  • Pediatric Occupational Therapist
  • Annapolis, MD
National Provider Identifier
1851877872
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
06464 Issued in MD
Practice address
1410 Forest Dr Ste 29
Annapolis, MD 21403-1446
Phone
(410) 280-8774
Fax
(410) 267-1995
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 06464 MD Primary

Addresses

Primary practice location

1410 Forest Dr Ste 29
Annapolis, MD 21403-1446

Mailing address

1410 Forest Dr Ste 29
Annapolis, MD 21403-1446
Phone (410) 280-8774

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
06464MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Occupational Therapy Associates, LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1851877872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR STE 29",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031446",
            "telephone_number": "410-280-8774",
            "fax_number": "410-267-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR STE 29",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031446",
            "telephone_number": "410-280-8774",
            "fax_number": "410-267-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RITA",
        "middle_name": "BRAVE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "06464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.