Active NPI
Maria Reynita Ilao Hidalgo
- Physical Therapist
- Ellicott City, MD
National Provider Identifier
1285863944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22885
- Practice address
- 3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657 - Phone
- (410) 750-9006
- NPI assigned
- Jul 2, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22885 | MD | Primary |
| Physical Therapist | 225100000X | 3671 | NM |
Addresses
Primary practice location
3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657
Mailing address
11400 Gunpowder Dr
Fort Washington, MD 20744-4282
Phone (301) 675-1010
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 |
|---|---|---|---|
| 22885 | MD | MD | Physical Therapist |
| 3671 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1285863944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 GUNPOWDER DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444282",
"telephone_number": "301-675-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 N RIDGE RD STE 290",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433657",
"telephone_number": "410-750-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "MARIA REYNITA",
"middle_name": "ILAO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22885",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3671",
"primary": false
}
],
"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 Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.