Individual provider Active NPI

Margie Ridgely, PT, MSPT

  • Physical Therapist
  • Prince Frederick, MD
National Provider Identifier
1811277585
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19641 Issued in MD
Practice address
110 Main Street
Prince Frederick, MD 20678
Phone
(410) 535-9850
Fax
(410) 535-9851
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19641 MD Primary

Addresses

Primary practice location

110 Main Street
Prince Frederick, MD 20678

Mailing address

PO Box 492
Huntingtown, MD 20639-0492
Phone (410) 535-9850

Other practice location 1

497 Main St
Suite 200
Prince Frederick, MD 20678-3189
Phone (410) 414-9840

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

LicenseStateTypeSpecialty
19641MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Forum of Maryland, LLC CurrentSince Feb 18, 2024 Accepting new patients
K Conway Physical Therapy, Inc. PastSince Sep 5, 2008 Accepting new patients

Locations

2448 Holly Ave
Ste 200
Annapolis, MD 21401
Phone (410) 295-4941

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 2

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811277585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206390492",
            "telephone_number": "410-535-9850",
            "fax_number": "410-535-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN STREET",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-9850",
            "fax_number": "410-535-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783189",
            "country_code": "US",
            "telephone_number": "410-414-9840",
            "fax_number": "410-414-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGELY",
        "first_name": "MARGIE",
        "name_prefix": "Ms.",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.