Organization
KINESIO PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH K HAGERTY P.T. (MANAGING MEMBER)
(410) 987-5746
Entity
Organization
Contact information
Practice address
821 W BENFIELD RD, SUITE 7, SEVERNA PARK, MD 21146-2220
(443) 994-2640
Mailing address
418 RED BIRCH RD, MILLERSVILLE, MD 21108-1414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17817
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578634077
MEDICARE NPI INDIVIDUAL
—
01
—
320171
MEDICARE IDENTIFICATION NUMBER
—
Enumeration date
01/21/2014
Last updated
01/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up