Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Waterman

Individual provider Occupational Therapist · NPI 1841886835

Kylie Waterman is an Occupational Therapist in Private Practice in Severna Park, Maryland. Qualified in 2019, 7 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020

Practice location Address checks out

820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111
Phone: (443) 481-1140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1841886835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 15, 2020
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address2001 Medical Pkwy, Annapolis, MD 21401-3773

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Severna Park