Active NPI
Moriah Perry, ATC
- Athletic Trainer
- Clinton, MD
National Provider Identifier
1225684111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0000774
- Practice address
- 7905 Malcom Rd
Clinton, MD 20735-2073 - Phone
- (301) 856-0050
- NPI assigned
- Aug 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A0000774 | MD | Primary |
Addresses
Primary practice location
7905 Malcom Rd
Clinton, MD 20735-2073
Mailing address
5803 Butterfield Dr
Clinton, MD 20735-2280
Phone (240) 299-4030
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 |
|---|---|---|---|
| A0000774 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1225684111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 BUTTERFIELD DR",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352280",
"telephone_number": "240-299-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 MALCOM RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352073",
"telephone_number": "301-856-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MORIAH",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0000774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
- Pediatrix of Maryland PA
- Caroline Pembrooke, CRNA
- Brian Quinn Peragine, MD
- Marvin Peraza
- Hayda Torres Perdue, M.D
- Person-Centered Home Care Services LLC
- Angelica Nicolina Ferrazzi Petrous, DNP, APRN, AGPCNP-BC
- Tamika La Cher Phelps
- Physician Imaging of Washington Hospital Center, LLC (MedStar Radiology Network at Southern Maryland)
- Ma Riza Pico, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.