Individual provider Active NPI

Kaitlin Nicole Barry, MS OTR/L, CLT

  • Occupational Therapist
  • Annapolis, MD
National Provider Identifier
1992289359
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07713 Issued in MD
Practice address
2000 Medical Pkwy Ste 404
Annapolis, MD 21401-3746
Phone
(443) 481-1140
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 07713 MD
Neurorehabilitation Occupational Therapist 225XN1300X 07713 MD
Physical Rehabilitation Occupational Therapist 225XP0019X 07713 MD
Occupational Therapist 225X00000X 07713 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 404
Annapolis, MD 21401-3746

Mailing address

256 Magothy Cove CT
Pasadena, MD 21122-4169
Phone (410) 271-3335

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200414000841 MD Practitioner - Occupational Therapist in Private Practice 0042640195 Reassigns benefits to 2 organizations
I20200414001372 DC Practitioner - Occupational Therapist in Private Practice 0042640195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

277 Peninsula Farm Rd
Suite I
Arnold, MD 21012-1018
Phone (202) 681-1779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
07713MDMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Physical Therapy, Inc CurrentSince Jun 9, 2021 Accepting new patients
LHMG Physical Therapy, LLC CurrentSince Jan 8, 2020 Accepting new patients
LHMG Physical Therapy, LLC Occupational Therapist CurrentSince Jan 8, 2020 Accepting new patients
Magothy Therapy & Wellness LLC Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Occupational Therapist Current Accepting new patients
LHMG Physical Therapy, LLC CurrentSince Jan 8, 2020 Accepting new patients

Locations

2000 Medical Pkwy
Ste 404
Annapolis, MD 21401

979 Bay Village Dr
Annapolis, MD 21403
Phone (410) 266-6626

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

161 Jennifer Rd
Ste A
Annapolis, MD 21401

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

277 Peninsula Farm Rd
Ste I
Arnold, MD 21012
Phone (410) 315-8253

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 6

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1992289359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MAGOTHY COVE CT",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224169",
            "telephone_number": "410-271-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 404",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "443-481-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "KAITLIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MD",
            "license": "07713",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MD",
            "license": "07713",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MD",
            "license": "07713",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.