Active NPI
Maheswari R Pidugu, PT
- Physical Therapist
- Laurel, MD
National Provider Identifier
1699915587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21839
- Practice address
- 3140 Galaxy Way
Laurel, MD 20724-6116 - Phone
- (301) 498-0976
- NPI assigned
- Mar 4, 2009
- Last updated
- May 11, 2017
- 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 | 21839 | MD | Primary |
Addresses
Primary practice location
3140 Galaxy Way
Laurel, MD 20724-6116
Mailing address
3140 Galaxy Way
Laurel, MD 20724-6116
Phone (301) 498-0976
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 |
|---|---|---|---|
| 21839 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1699915587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 GALAXY WAY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207246116",
"telephone_number": "301-498-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 GALAXY WAY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207246116",
"telephone_number": "301-498-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIDUGU",
"first_name": "MAHESWARI",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
- Philanthropy Care LLC
- Joy Ann B Phillips-Schwartz, LCSW-C
- Tonya Julia Phillips
- Shoareged Phillpotts
- Physiotherapy Associates - NRH Rehab LLC (NovaCare Rehabilitation)
- Christine Lorraine Pierre
- Erlande Pierresaint
- Pivot Physical Therapy of Central Maryland LLC
- Benice Orock Piwo
- Placid Behavioral Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.