Healthcare Provider Details

I. General information

NPI: 1689083503
Provider Name (Legal Business Name): LKM THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 08/17/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 MARLBORO PIKE STE A
FORESTVILLE MD
20747-4311
US

IV. Provider business mailing address

1702 TREE DUCK CT
UPPER MARLBORO MD
20774-7114
US

V. Phone/Fax

Practice location:
  • Phone: 301-238-4723
  • Fax:
Mailing address:
  • Phone: 301-233-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONICA TITUS
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 301-233-2268