Kelly Ann Trussell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28373 Issued in MD

Practice address

3350 Wilkens Ave Ste 303
Baltimore, MD 21229-4618

Phone

(410) 368-1026

Fax

(410) 368-1047

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1952829251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 HOLABIRD AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WILKENS AVE STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294618",
            "telephone_number": "410-368-1026",
            "fax_number": "410-368-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Condor St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "021281305",
            "country_code": "US",
            "telephone_number": "617-569-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Truong, MD
• Trupath Behavioral Therapy MD LLC
• Gloria Trupe
• Kayleigh Elizabeth Truscott, OTD, OTR/L
• Erica Lynn Truske
• Trust Medical Supplies, Inc.
• Trusted Care Professionals LLC
• Trusted Care Professionals LLC
• Trustworthy Staffing Solutions, LLC
• Truworld Behavioral Health Center, Inc

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.