Healthcare Provider Details

I. General information

NPI: 1336070556
Provider Name (Legal Business Name): MS. KATHRYN SUZANNE WINDSOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20501 SENECA MEADOWS PKWY STE 100
GERMANTOWN MD
20876-7017
US

IV. Provider business mailing address

20501 SENECA MEADOWS PKWY STE 100
GERMANTOWN MD
20876-7017
US

V. Phone/Fax

Practice location:
  • Phone: 301-798-4838
  • Fax:
Mailing address:
  • Phone: 301-798-4838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30871
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: