Active NPI
Ma Riza Pico, PT
- Physical Therapist
- Clinton, MD
National Provider Identifier
1518385301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24908
- Practice address
- 7700 Old Branch Ave
Suite a-104
Clinton, MD 20735-1628 - Phone
- (301) 877-3422
- Fax
- (301) 877-3425
- NPI assigned
- Mar 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24908 | MD | Primary |
Addresses
Primary practice location
7700 Old Branch Ave
Suite a-104
Clinton, MD 20735-1628
Mailing address
PO Box 7911
Largo, MD 20792-7911
Phone (301) 877-3422
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24908 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1518385301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7911",
"city": "LARGO",
"state": "MD",
"postal_code": "207927911",
"telephone_number": "301-877-3422",
"fax_number": "301-877-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 OLD BRANCH AVE",
"address_2": "SUITE A-104",
"city": "CLINTON",
"state": "MD",
"postal_code": "207351628",
"telephone_number": "301-877-3422",
"fax_number": "301-877-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICO",
"first_name": "MA RIZA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
- Moriah Perry, ATC
- Person-Centered Home Care Services LLC
- Angelica Nicolina Ferrazzi Petrous, DNP, APRN, AGPCNP-BC
- Tamika La Cher Phelps
- Physician Imaging of Washington Hospital Center, LLC (MedStar Radiology Network at Southern Maryland)
- Wendell C. Pierson, M.D.
- Pineview Dialysis Clinic LLC
- Pineview Extended Care Centre, Inc. (FutureCare Pineview)
- Pineview Extended Care Centre, Inc. (FutureCare Pineview)
- Pinnacle Enrichment Healthcare Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.