Healthcare Provider Details

I. General information

NPI: 1720990104
Provider Name (Legal Business Name): KIMBERLY GEARY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 MAIN ST STE 200
GAITHERSBURG MD
20878-6558
US

IV. Provider business mailing address

208 HARRISON ST
ROCKVILLE MD
20850-1822
US

V. Phone/Fax

Practice location:
  • Phone: 301-251-2849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number03249
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: