MEDICARE: MT. WASHINGTON PEDIATRIC COMMUNITY HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1619338225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MT. WASHINGTON PEDIATRIC COMMUNITY HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	1708 W ROGERS AVE
Second Line	:	ATTN: FINANCE
City	:	BALTIMORE
State	:	MD
Zip	:	21209-4545
Country	:	US
Telephone Number	:	410-578-5163
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 INDUSTRY LN
Second Line	:	UNIT 5A
City	:	FOREST HILL
State	:	MD
Zip	:	21050-1741
Country	:	US
Telephone Number	:	410-367-2222
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MARY MILLER
Credential	:
Telephone Number	:	410-578-5163

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	03/17/2017

Similar Medicare Providers

1124254339 — MS. EMILY ELIZABETH SMITH MS OTR/L
Practice Location Address:

138 INDUSTRY LN , UNIT 5A
FOREST HILL, MD
21050-1741

Practice Phone: 443-752-1617
Practice Fax: 410-727-1617

1447517222 — MISS LAURA PATRICIA CAPIZZI M.S. CCC-SLP
Practice Location Address:

138 INDUSTRY LN , 5A
FOREST HILL, MD
21050-1741

Practice Phone: 443-752-1617
Practice Fax: 410-727-2186

1093068793 — KIMBERLY HARWOOD WHITE MS, OTR/L
Practice Location Address:

138 INDUSTRY LN , UNIT 5A
FOREST HILL, MD
21050-1741

Practice Phone: 443-752-1617
Practice Fax:

1578989067 — KARYN ACRICHE
Practice Location Address:

138 INDUSTRY LN STE 5A
FOREST HILL, MD
21050-1741

Practice Phone: 443-752-1617
Practice Fax:

1225426166 — KARA KEHL
Practice Location Address:

138 INDUSTRY LN STE 5A
FOREST HILL, MD
21050-1741

Practice Phone: 443-752-1617
Practice Fax:

1881155703 — KATHRYN ELIZABETH JENDRAS DPT
Practice Location Address:

138 INDUSTRY LN STE 5A
FOREST HILL, MD
21050-1741

Practice Phone: 410-367-2222
Practice Fax:

Directions to “MT. WASHINGTON PEDIATRIC COMMUNITY HEALTH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.