Individual provider Active NPI

Andrew Antonio Wright, OT

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1992071997
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05032 Issued in MD
Practice address
1200 Steuart St
Baltimore, MD 21230-5317
Phone
(833) 769-3779
Fax
(410) 994-2705
NPI assigned
Mar 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05032 MD Primary

Addresses

Primary practice location

1200 Steuart St
Baltimore, MD 21230-5317

Mailing address

9116 Summer Park Dr
Baltimore, MD 21234-3421
Phone (410) 665-5701

Other practice location 1

9116 Summer Park Dr
Baltimore, MD 21234-3421
Phone (410) 665-5701

Other practice location 2

197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314
Phone (301) 662-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000639 MD Practitioner - Occupational Therapist in Private Practice 4789845900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8913 Whitecliff LN
Parkville, MD 21234-3321
Phone (410) 941-9844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05032MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keland Health Occupational Therapist CurrentSince Apr 9, 2022 Accepting new patients
Home Care Solutions, LLC Past Accepting new patients

Organizations & group practices 2

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": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1992071997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 SUMMER PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343421",
            "telephone_number": "410-665-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STEUART ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305317",
            "telephone_number": "833-769-3779",
            "fax_number": "410-994-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9116 Summer Park Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212343421",
            "country_code": "US",
            "telephone_number": "410-665-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Thomas Johnson Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024314",
            "country_code": "US",
            "telephone_number": "301-662-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANDREW",
        "middle_name": "ANTONIO",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-24",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.