Individual provider Active NPI

Heidi T Gido

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1245509694
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19577 Issued in MD
Practice address
4520 Worthington Manor Way
Ellicott City, MD 21043-6774
Phone
(410) 465-8597
NPI assigned
Dec 14, 2011
Last updated
Dec 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19577 MD Primary

Addresses

Primary practice location

4520 Worthington Manor Way
Ellicott City, MD 21043-6774

Mailing address

4520 Worthington Manor Way
Ellicott City, MD 21043-6774

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

LicenseStateTypeSpecialty
19577MDMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1245509694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 WORTHINGTON MANOR WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 WORTHINGTON MANOR WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436774",
            "telephone_number": "410-465-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDO",
        "first_name": "HEIDI",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.