Active NPI
Dorothy Shipley, P.T.
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1952480345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18880
- Practice address
- 2001 Tidewater Colony Drive
Suite 102
Annapolis, MD 21401-2592 - Phone
- (410) 266-8010
- Fax
- (443) 782-2498
- NPI assigned
- Nov 4, 2006
- 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 | 18880 | MD | Primary |
Addresses
Primary practice location
2001 Tidewater Colony Drive
Suite 102
Annapolis, MD 21401-2592
Mailing address
2001 Tidewater Colony Drive
Suite 102
Annapolis, MD 21401-2592
Phone (410) 266-8010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2777855 | Other | MD | CAREFIRST BLUE SHIELD |
| 277855 | Other | MH | MAMSI HEALTH CARE |
| S441003 | Other | MD | CAREFIRST BLUE CHOICE |
| 7691439 | Other | MD | AETNA HEALTH CARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1952480345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 TIDEWATER COLONY DRIVE",
"address_2": "SUITE 102",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012592",
"telephone_number": "410-266-8010",
"fax_number": "443-782-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 TIDEWATER COLONY DRIVE",
"address_2": "SUITE 102",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012592",
"telephone_number": "410-266-8010",
"fax_number": "443-782-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "DOROTHY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE SHIELD",
"identifier": "2777855",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI HEALTH CARE",
"identifier": "277855",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CHOICE",
"identifier": "S441003",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "7691439",
"state": "MD"
}
],
"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 Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.