Active NPI
Vidya Parawati, MOTR/L
- Occupational Therapist
- Odenton, MD
National Provider Identifier
1588069397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05902
- Practice address
- 1110 Town Center Blvd
Odenton, MD 21113-1233 - Phone
- (410) 672-8091
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 05902 | MD | Primary |
Addresses
Primary practice location
1110 Town Center Blvd
Odenton, MD 21113-1233
Mailing address
1110 Town Center Blvd Ste I
Odenton, MD 21113-1232
Phone (410) 672-8091
Other practice location 1
210 E Centre St
Baltimore, MD 21202-5764
Phone (410) 659-5990
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 |
|---|---|---|---|
| 05902 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates, Inc. | Occupational Therapist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates 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.
-
- Rehabilitation Clinic/Center
- Annapolis, MD
- NPI 1639281157
-
- Rehabilitation Clinic/Center
- Odenton, MD
- NPI 1861579328
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1588069397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 TOWN CENTER BLVD STE I",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131232",
"telephone_number": "410-672-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 TOWN CENTER BLVD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131233",
"telephone_number": "410-672-8091"
}
],
"practiceLocations": [
{
"address_1": "210 E Centre St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212025764",
"country_code": "US",
"telephone_number": "410-659-5990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARAWATI",
"first_name": "VIDYA",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.