Active NPI
Reeba Anna Abraham, OTR/L
- Occupational Therapist
- Frederick, MD
National Provider Identifier
1861090482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08979
- Practice address
- 405 S Jefferson St Unit B
Frederick, MD 21701-6272 - Phone
- (301) 662-9335
- NPI assigned
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08979 | MD | Primary |
Addresses
Primary practice location
405 S Jefferson St Unit B
Frederick, MD 21701-6272
Mailing address
PO Box 419666
Boston, MA 02241-9666
Phone (410) 970-8190
Other practice location 1
14090 Hg Trueman Rd Ste 1500
Solomons, MD 20688-3151
Phone (410) 394-2838
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08979 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Physical Therapy Services, LLC | Current | Accepting new patients |
Locations
405 S Jefferson St
Unit B
Frederick, MD 21701
Phone (301) 662-9335
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.
-
- Physical Therapy Clinic/Center
- Frederick, MD
- NPI 1043892797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1861090482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419666",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419666",
"telephone_number": "410-970-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S JEFFERSON ST UNIT B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016272",
"telephone_number": "301-662-9335"
}
],
"practiceLocations": [
{
"address_1": "14090 Hg Trueman Rd Ste 1500",
"address_purpose": "LOCATION",
"city": "Solomons",
"state": "MD",
"postal_code": "206883151",
"country_code": "US",
"telephone_number": "410-394-2838",
"fax_number": "410-394-5369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "REEBA",
"middle_name": "ANNA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08979",
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.