Individual provider Active NPI

Shahida Ishaq Suleman, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1366641565
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18993 Issued in MD
Practice address
5623 Reisterstown Rd Ste 1
Baltimore, MD 21215-3451
Phone
(410) 949-2919
Fax
(410) 630-5561
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 18993 MD Primary

Addresses

Primary practice location

5623 Reisterstown Rd Ste 1
Baltimore, MD 21215-3451

Mailing address

317 N Bend Rd
Baltimore, MD 21229-3113
Phone (410) 409-8559

Other identifiers 1

IdentifierTypeStateIssuer
RTD61478804OtherMDBC/BS

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Rehab LLC Past Accepting new patients
RTD Medical Center, Inc. Physical Therapist Past Accepting new patients
Sunshine Rehab Physical Therapy Physical Therapist Past Accepting new patients
R&S Home Care, Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1366641565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N BEND RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293113",
            "telephone_number": "410-409-8559",
            "fax_number": "410-630-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 REISTERSTOWN RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153451",
            "telephone_number": "410-949-2919",
            "fax_number": "410-630-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEMAN",
        "first_name": "SHAHIDA",
        "middle_name": "ISHAQ",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "RTD61478804",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.