NPIMap

Individual provider Active NPI

Sherry Lord, PT

  • Pediatric Physical Therapist
  • Pikesville, MD
National Provider Identifier
1891135539
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
25178 Issued in MD
Practice address
115 Sudbrook LN
Ste a
Pikesville, MD 21208-4130
Phone
(410) 358-1997
Fax
(866) 840-6040
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 25178 MD Primary
Pediatric Physical Therapist 2251P0200X 2305004089 VA

Addresses

Primary practice location

115 Sudbrook LN
Ste a
Pikesville, MD 21208-4130

Mailing address

115 Sudbrook LN
Ste a
Pikesville, MD 21208-4130
Phone (410) 358-1997

Other identifiers 1

IdentifierTypeStateIssuer
4978056MedicaidVA

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

LicenseStateTypeSpecialty
25178MDMDPediatric Physical Therapist
2305004089VAMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1891135539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN",
            "address_2": "STE A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084130",
            "telephone_number": "410-358-1997",
            "fax_number": "866-840-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN",
            "address_2": "STE A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084130",
            "telephone_number": "410-358-1997",
            "fax_number": "866-840-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "SHERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "25178",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305004089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978056",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.