Individual provider Active NPI

Reeba Anna Abraham, OTR/L

  • Occupational Therapist
  • Frederick, MD
National Provider Identifier
1861090482
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08979 Issued in MD
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

Updated by the provider on May 14, 2021

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 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

LicenseStateTypeSpecialty
08979MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy Services, LLC CurrentSince May 16, 2021 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.

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.

Verify at the official NPI Registry.