Individual provider Active NPI

Wray Pardy Pianta, MMSC PT

  • Orthopedic Physical Therapist
  • Frederick, MD
National Provider Identifier
1932205424
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19241 Issued in MD
Practice address
6605 Fox Meade CT
Frederick, MD 21702-9493
Phone
(301) 698-9681
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 19241 MD Primary

Addresses

Primary practice location

6605 Fox Meade CT
Frederick, MD 21702-9493

Mailing address

6605 Fox Meade CT
Frederick, MD 21702-9493
Phone (301) 698-9681

Other identifiers 2

IdentifierTypeStateIssuer
551810OtherMDMAMSI
2004876OtherMDUNITED HEALTHCARE

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
2134GAMDClinical Psychologist
19241MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericks Sport and Spine Clinic Inc Orthopedic Past Accepting new patients
Atlanta Back Clinic - Orthopedic Phys Therapy & Training Ctr Inc PastSince Feb 22, 2012 Accepting new patients
Frederick Sport & Spine Clinic Orthopedic Past Accepting new patients

Organizations & group practices 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1932205424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 FOX MEADE CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029493",
            "telephone_number": "301-698-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 FOX MEADE CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029493",
            "telephone_number": "301-698-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANTA",
        "first_name": "WRAY",
        "middle_name": "PARDY",
        "name_prefix": "Mrs.",
        "credential": "MMSC PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "19241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "551810",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2004876",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.