Individual provider Active NPI

Grace Shodiya, DPT

  • Physical Therapist
  • Waldorf, MD
National Provider Identifier
1891416806
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29404 Issued in MD
Practice address
2875 Crain Hwy
Waldorf, MD 20601-2842
Phone
(301) 859-3304
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 29404 MD Primary

Addresses

Primary practice location

2875 Crain Hwy
Waldorf, MD 20601-2842

Mailing address

13507 William Beanes Rd
Upper Marlboro, MD 20772-4005
Phone (124) 059-5381

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grace.shodiya@som.umaryland.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230602000040 DC Practitioner - Physical Therapist in Private Practice 8224495494 Reassigns benefits to 2 organizations
I20230617000317 MD Practitioner - Physical Therapist in Private Practice 8224495494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2021 K St NW
Suite 615
Washington, DC 20006-1066
Phone (301) 498-0383

6700 Crain Hwy
Suite 101
La Plata, MD 20646-4950
Phone (240) 685-2925

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2025 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Precision Orthopedics and Sports Medicine Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Up Orthopedics LLC Past Accepting new patients

Locations

2021 K St NW
Ste 615
Washington, DC 20006
Phone (202) 808-8295

309 Willowbrook Rd
Ste 2
Cumberland, MD 21502
Phone (301) 777-2170

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

6700 Crain Hwy
Ste 101
La Plata, MD 20646
Phone (240) 685-2925

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

2875 Crain Hwy
Ste 6
Waldorf, MD 20601
Phone (301) 859-3304

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1891416806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13507 WILLIAM BEANES RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724005",
            "telephone_number": "124-059-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012842",
            "telephone_number": "301-859-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHODIYA",
        "first_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.shodiya@som.umaryland.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2875 Crain Hwy",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206012842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.