NPIMap

Organization Active NPI

Kids Therapy Connection, LLC

  • Occupational Therapist
  • Greenbelt, MD
National Provider Identifier
1992183347
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07319 Issued in MD
Legal business name
KIDS THERAPY CONNECTION, LLC
Practice address
8717 Greenbelt Rd Ste 102
Greenbelt, MD 20770-2480
Phone
(301) 553-2370
Fax
(410) 451-5703
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Ms. Mary Elizabeth Bray, OT
Title
Owner
Phone
(410) 451-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 07319 MD Primary

Addresses

Primary practice location

8717 Greenbelt Rd Ste 102
Greenbelt, MD 20770-2480

Mailing address

1166 Maryland Route 3 S Ste 109
Gambrills, MD 21054-1773
Phone (410) 451-5700

Other practice location 1

1166 Maryland Route 3 S Ste 109
Gambrills, MD 21054-1773
Phone (410) 451-5700

Other names 1

  • My Kids Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1166 State Route 3 S
Ste 109
Gambrills, MD 21054
Phone (410) 451-5700

8717 Greenbelt Rd
Ste 102
Greenbelt, MD 20770
Phone (301) 552-2371

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1992183347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 MARYLAND ROUTE 3 S STE 109",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541773",
            "telephone_number": "410-451-5700",
            "fax_number": "410-451-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 GREENBELT RD STE 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702480",
            "telephone_number": "301-553-2370",
            "fax_number": "410-451-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1166 Maryland Route 3 S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541773",
            "country_code": "US",
            "telephone_number": "410-451-5700",
            "fax_number": "410-451-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS THERAPY CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-451-5700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

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