Active NPI
Julie Ridgeway Saddoris
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1912499005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26983
- Practice address
- 116 Defense Hwy Ste 101
Annapolis, MD 21401-7040 - Phone
- (410) 897-0120
- NPI assigned
- Jun 4, 2018
- 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 | 26983 | MD | Primary |
Addresses
Primary practice location
116 Defense Hwy Ste 101
Annapolis, MD 21401-7040
Mailing address
5627 Gunner Run Rd
Churchton, MD 20733-2108
Phone (410) 610-4962
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 |
|---|---|---|---|
| 26983 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1912499005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5627 GUNNER RUN RD",
"city": "CHURCHTON",
"state": "MD",
"postal_code": "207332108",
"telephone_number": "410-610-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 DEFENSE HWY STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017040",
"telephone_number": "410-897-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADDORIS",
"first_name": "JULIE",
"middle_name": "RIDGEWAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.