Active NPI
Katie Ballew, DPT
- Physical Therapist
- Columbia, MD
National Provider Identifier
1861170896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29501
- Practice address
- 9030 MD-108 Ste B
Columbia, MD 21045 - Phone
- (443) 979-8535
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 10, 2023
- 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 Therapist | 225100000X | 29501 | MD | Primary |
Addresses
Primary practice location
9030 MD-108 Ste B
Columbia, MD 21045
Mailing address
1901 S Charles St Apt 135
Baltimore, MD 21230-4887
Phone (484) 894-2286
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 |
|---|---|---|---|
| 29501 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1861170896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S CHARLES ST APT 135",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304887",
"telephone_number": "484-894-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 MD-108 STE B",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "443-979-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEW",
"first_name": "KATIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.