Individual provider Active NPI

Dorian Ranell Adams-Walker, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1427298967
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27396 Issued in MD
Practice address
7624 Belair Rd
Baltimore, MD 21236-4088
Phone
(667) 219-2169
Fax
(410) 657-3363
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009928 GA
Physical Therapist 225100000X 27396 MD Primary

Addresses

Primary practice location

7624 Belair Rd
Baltimore, MD 21236-4088

Mailing address

331 Oak Manor Dr
Ste 101
Glen Burnie, MD 21061-5553
Phone (410) 766-4878

Other practice location 1

1800 Howell Mill Rd NW
Suite 200
Atlanta, GA 30318-2538
Phone (404) 352-1015

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

State licenses

LicenseStateTypeSpecialty
PT009928GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1427298967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878",
            "fax_number": "410-766-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7624 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "667-219-2169",
            "fax_number": "410-657-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Howell Mill Rd NW",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182538",
            "country_code": "US",
            "telephone_number": "404-352-1015",
            "fax_number": "404-477-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS-WALKER",
        "first_name": "DORIAN",
        "middle_name": "RANELL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009928",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27396",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2020; 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.