Individual provider Active NPI

Nancy Anita Perry Shipp, P.T.

  • Physical Therapist
  • Perry Point, MD
National Provider Identifier
1376675249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19715 Issued in MD
Practice address
PMRS, Ave D, Building 23H, Ground Floor
Veterans Administration Maryland Health Care System
Perry Point, MD 21902
Phone
(410) 642-2411
Fax
(410) 642-1052
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19715 MD Primary

Addresses

Primary practice location

PMRS, Ave D, Building 23H, Ground Floor
Veterans Administration Maryland Health Care System
Perry Point, MD 21902

Mailing address

5351 Hesperus Dr
Columbia, MD 21044-1838
Phone (410) 245-5235

Other names 1

  • Ms. Nancy Anita Perry Former name

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
19715MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376675249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 HESPERUS DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441838",
            "telephone_number": "410-245-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMRS, AVE D, BUILDING 23H, GROUND FLOOR",
            "address_2": "VETERANS ADMINISTRATION MARYLAND HEALTH CARE SYSTEM",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "NANCY",
        "middle_name": "ANITA PERRY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PERRY",
            "middle_name": "ANITA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perry Point, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.