Individual provider Active NPI

Vidya Parawati, MOTR/L

  • Occupational Therapist
  • Odenton, MD
National Provider Identifier
1588069397
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05902 Issued in MD
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

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
05902MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc PastSince Jan 21, 2024 Accepting new patients
Physiotherapy Associates, Inc. Occupational Therapist PastSince Jan 21, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 21, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 21, 2024 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": "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.

Verify at the official NPI Registry.