Active NPI
Jeanne Marie Roxanne Paragas
- Physical Therapist
- Westminster, MD
National Provider Identifier
1013743046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29908
- Practice address
- 416 Poole Rd Apt B3
Westminster, MD 21157-6139 - Phone
- (410) 218-1743
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R09076 | MP | |
| Physical Therapist | 225100000X | PT9054 | NC | |
| Physical Therapist | 225100000X | 29908 | MD | Primary |
Addresses
Primary practice location
416 Poole Rd Apt B3
Westminster, MD 21157-6139
Mailing address
416 Poole Rd Apt B3
Westminster, MD 21157-6139
Phone (410) 218-1743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R09076 | MP | MD | Registered Nurse |
| 29908 | MD | MD | Physical Therapist |
| PT9054 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1013743046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 POOLE RD APT B3",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576139",
"telephone_number": "410-218-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 POOLE RD APT B3",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576139",
"telephone_number": "410-218-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAGAS",
"first_name": "JEANNE MARIE ROXANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MP",
"license": "R09076",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT9054",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.