MEDICARE: MISS JAYLA KRISTEN PINKNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	A6136	MD

General Provider Information

NPI Number	:	1104625631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JAYLA KRISTEN PINKNEY

Provider Business Mailing Address
First Line	:	7803 CHERRYBROOK CT
Second Line	:
City	:	SEVERN
State	:	MD
Zip	:	21144-3244
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8028 RITCHIE HWY STE 120
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1069
Country	:	US
Telephone Number	:	410-590-8750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2025
Last Update Date	:	12/01/2025

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Directions to “ MISS JAYLA KRISTEN PINKNEY ” Practice Location

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