Active NPI
Kelly Ann McBride, PT
- Pediatric Physical Therapist
- Essex, MD
National Provider Identifier
1962544411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 16069
- Practice address
- 214 Saint Marys Rd
Essex, MD 21221-1539 - Phone
- (410) 238-0058
- NPI assigned
- Feb 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 16069 | MD | Primary |
Addresses
Primary practice location
214 Saint Marys Rd
Essex, MD 21221-1539
Mailing address
214 Saint Marys Rd
Essex, MD 21221-1539
Phone (410) 238-0058
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16069 | MD | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962544411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 SAINT MARYS RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212211539",
"telephone_number": "410-238-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 SAINT MARYS RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212211539",
"telephone_number": "410-238-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MD",
"license": "16069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
- Magnet Healthcare Services LLC
- Pamella Norva Manners, CAC-AD
- Martin's Telemedicine and Mental Health PC
- Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy #02865)
- Joy Arenal Masibac
- Taushia Monique McBride, AGNP-BC
- Christina R McIlwrath, DNP, MSN, RN
- Carrie Lee McPherson, LCSW-C
- Mercy Health Care Systems Corporation
- Mercy Me Home Health Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.