Renisha Hardy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24581 Issued in MD

Practice address

1718 Belmont Ave Ste C
Windsor Mill, MD 21244-2552

Phone

(443) 200-5294

Fax

(443) 348-5970

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245657428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MARINA VIEW CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212217058",
            "telephone_number": "443-857-1353",
            "fax_number": "443-348-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 BELMONT AVE STE C",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442552",
            "telephone_number": "443-200-5294",
            "fax_number": "443-348-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 E 30th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212183934",
            "country_code": "US",
            "telephone_number": "410-889-0727",
            "fax_number": "410-889-0729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "RENISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.