Individual provider Active NPI

Teresa Stanley Kaidy

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1861450470
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16999 Issued in MD
Practice address
2 E Rolling XRDS Ste 57
Catonsville, MD 21228-6212
Phone
(443) 860-9168
Fax
(443) 636-5987
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16999 MD Primary

Addresses

Primary practice location

2 E Rolling XRDS Ste 57
Catonsville, MD 21228-6212

Mailing address

PO Box 15031
Baltimore, MD 21282-5031
Phone (443) 860-9168

Other practice location 1

6615 Reisterstown Rd Ste 300
Baltimore, MD 21215-2689
Phone (443) 627-8921

Other practice location 2

20 Crossroads Dr Ste 13
Owings Mills, MD 21117-5479
Phone (410) 363-0015

Other identifiers 2

IdentifierTypeStateIssuer
E705-0005OtherMDFEDERAL BLUECROSS/SHIELD
LV17OtherMDCAREFIRST BLUECROSS/SHIEL

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
16999MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lemoine & Associates Physical Therapy, Inc Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Lee Miller Rehabilitation Associates LLC Physical Therapist CurrentSince Oct 10, 2021 Accepting new patients
Lemoine & Associates Physical Therapy LLC Physical Therapist PastSince Nov 6, 2020 Accepting new patients

Locations

6615 Reisterstown Rd
Ste 300
Baltimore, MD 21215
Phone (443) 627-8921

20 Crossroads Dr
Ste 13
Owings Mills, MD 21117
Phone (410) 363-0015

Organizations & group practices 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1861450470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15031",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212825031",
            "telephone_number": "443-860-9168",
            "fax_number": "443-636-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLING XRDS STE 57",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "telephone_number": "443-860-9168",
            "fax_number": "443-636-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6615 Reisterstown Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212152689",
            "country_code": "US",
            "telephone_number": "443-627-8921",
            "fax_number": "410-918-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Crossroads Dr Ste 13",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175479",
            "country_code": "US",
            "telephone_number": "410-363-0015",
            "fax_number": "410-356-7763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAIDY",
        "first_name": "TERESA",
        "middle_name": "STANLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUECROSS/SHIELD",
            "identifier": "E705-0005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS/SHIEL",
            "identifier": "LV17",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.