Active NPI
Jody Shapiro Gandy, PT, PHD
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1629287511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 000982-E
- Practice address
- 1111 North Fairfax Street
Alexandria, VA 22314-1488 - Phone
- (703) 706-3201
- Fax
- (703) 706-3387
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 000982-E | PA | Primary |
Addresses
Primary practice location
1111 North Fairfax Street
Alexandria, VA 22314-1488
Mailing address
2409 Altenburg CT
Waldorf, MD 20603-3205
Phone (301) 374-6985
Other names 1
- Ms. Jody A Shapiro
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 000982-E | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629287511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 ALTENBURG CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206033205",
"telephone_number": "301-374-6985",
"fax_number": "301-374-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 NORTH FAIRFAX STREET",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141488",
"telephone_number": "703-706-3201",
"fax_number": "703-706-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDY",
"first_name": "JODY",
"middle_name": "SHAPIRO",
"name_prefix": "Mrs.",
"credential": "PT, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT 000982-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODY",
"last_name": "SHAPIRO",
"middle_name": "A",
"prefix": "MS.",
"credential": "PT, PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, VA
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.