Individual provider Active NPI

Cheryl Watkins

  • Occupational Therapist
  • Olney, MD
National Provider Identifier
1891085502
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05729 Issued in MD
Practice address
18604 Thornberry LN
Olney, MD 20832-1819
Phone
(301) 717-5929
Fax
(240) 252-2108
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 05729 MD
Occupational Therapist 225X00000X 05729 MD Primary

Addresses

Primary practice location

18604 Thornberry LN
Olney, MD 20832-1819

Mailing address

18604 Thornberry LN
Olney, MD 20832-1819
Phone (301) 717-5929

Other practice location 1

8201 Castanea Ln
Derwood, MD 20855-2582
Phone (301) 717-5929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171219001758 MD Practitioner - Occupational Therapist in Private Practice 9234497322 Reassigns benefits to 1 organization
I20240529000984 DC Practitioner - Occupational Therapist in Private Practice 9234497322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18604 Thornberry LN
Olney, MD 20832-1819
Phone (301) 717-5929

8201 Castanea LN
Derwood, MD 20855-2582
Phone (301) 717-5929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05729MDMDOccupational Therapist

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1891085502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18604 THORNBERRY LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321819",
            "telephone_number": "301-717-5929",
            "fax_number": "240-252-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18604 THORNBERRY LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321819",
            "telephone_number": "301-717-5929",
            "fax_number": "240-252-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Castanea Ln",
            "address_purpose": "LOCATION",
            "city": "Derwood",
            "state": "MD",
            "postal_code": "208552582",
            "country_code": "US",
            "telephone_number": "301-717-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MD",
            "license": "05729",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.