Active NPI
Margie Ridgely, PT, MSPT
- Physical Therapist
- Prince Frederick, MD
National Provider Identifier
1811277585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19641
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19641 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Forum of Maryland, LLC | Current | Accepting new patients | |
| K Conway Physical Therapy, Inc. | Past | 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.
-
- Occupational Therapist
- Annapolis, MD
- NPI 1821853441
-
- Physical Therapy Clinic/Center
- Prince Frederick, MD
- NPI 1780889154
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.