Active NPI
Sarada Sridhar
- Physical Therapist
- Leonardtown, MD
National Provider Identifier
1700574456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29397
- Practice address
- 23511 Hollywood Rd
Leonardtown, MD 20650-5833 - Phone
- (240) 577-6433
- NPI assigned
- Apr 28, 2023
- 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 | 29397 | MD | Primary |
Addresses
Primary practice location
23511 Hollywood Rd
Leonardtown, MD 20650-5833
Mailing address
23511 Hollywood Rd
Leonardtown, MD 20650-5833
Phone (240) 577-6433
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 |
|---|---|---|---|
| 29397 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1700574456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23511 HOLLYWOOD RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206505833",
"telephone_number": "240-577-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23511 HOLLYWOOD RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206505833",
"telephone_number": "240-577-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIDHAR",
"first_name": "SARADA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
- Southern Maryland Orthopaedic & Sports Medici NE Center PC
- Southern Maryland Physical Therapy Inc. (Rehabilitation Center of Southern Maryland)
- Southern Maryland Physical Therapy Inc. (Rehabilitation Center of Southern Maryland)
- Southern Maryland Women's Healthcare, PA
- Speak Well Solutions, LLC
- St Mar's County Dept of Human Services (St Marys CSA)
- St Mary's Hospital Psychiatry
- St Marys Hospital of St Marys County Inc (MedStar St. Mary's Hospital)
- St Marys Hospital of St Marys County, Inc (Medstar St Marys Hospital Pharmacy)
- St Marys Pediatrics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.