IndividualActive
Kenroy Greenidge, COTA/L
NPI 1184812349 · Occupational Therapy Assistant · Baltimore, MD
Provider details
- NPI number
- 1184812349
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- License
- A01557 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 Wentworth Rd
Baltimore, MD 21234-6128
Phone: (410) 661-5717
Street-level locationGet directions
Mailing address
107 Summer Woods Way
Owings Mills, MD 21117-1777
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2007-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.