Active NPI
Virginia Marie Standford, MSPT
- Physical Therapist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18657
- Practice address
- 610 Solarex CT
Frederick, MD 21703-8624 - Phone
- (240) 215-9023
- Fax
- (240) 215-9026
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18657 | MD | Primary |
Addresses
Primary practice location
610 Solarex CT
Frederick, MD 21703-8624
Mailing address
9007 Grape Creek Rd
Walkersville, MD 21793-8808
Phone (301) 845-7289
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K1340002 | Other | MD | CAP/FED BC |
| 602030700 | Other | MD | DEPT OF LABOR MSS |
| R5590003 | Other | MD | FSS CAP BC |
| 147719000 | Other | MD | DEPT OF LABOR |
| 546240-06 | Other | MD | CAREFIRST FSS |
| 54624007 | Other | MD | MSS BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845
19 W Frederick St
Walkersville, MD 21793-8230
Phone (301) 845-6336
610 Solarex CT
Frederick, MD 21703-8624
Phone (301) 682-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18657 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients | |
| Frederick Sport & Spine Clinic | Past | Accepting new patients | |
| Fredericks Sport and Spine Clinic Inc | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
604 Solarex Ct
Unit 104
Frederick, MD 21703
Phone (240) 215-9023
610 Solarex Ct
Frederick, MD 21703
Phone (301) 663-6162
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
19 W Frederick St
Walkersville, MD 21793
Phone (301) 662-8541
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- virginia.standford.1@8042.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Rockville, MD
- NPI 1811715436
-
- Orthopedic Physical Therapist
- Walkersville, MD
- NPI 1134397722
-
- Orthopedic Physical Therapist
- Frederick, MD
- NPI 1841204823
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1104805985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9007 GRAPE CREEK RD",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938808",
"telephone_number": "301-845-7289",
"fax_number": "240-215-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SOLAREX CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038624",
"telephone_number": "240-215-9023",
"fax_number": "240-215-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDFORD",
"first_name": "VIRGINIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP/FED BC",
"identifier": "K1340002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR MSS",
"identifier": "602030700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FSS CAP BC",
"identifier": "R5590003",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "147719000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FSS",
"identifier": "546240-06",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSS BC",
"identifier": "54624007",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.