Active NPI
Nikki Simone Carrington
- Physical Therapist
- Glenn Dale, MD
National Provider Identifier
1992278576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27744
- Practice address
- 12150 Annapolis Rd Ste 305
Glenn Dale, MD 20769-9183 - Phone
- (301) 853-0093
- NPI assigned
- Jan 7, 2019
- 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 | 27744 | MD | Primary |
Addresses
Primary practice location
12150 Annapolis Rd Ste 305
Glenn Dale, MD 20769-9183
Mailing address
14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone (301) 853-0093
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27744 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1992278576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 PARK CENTER DR STE 204",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075252",
"telephone_number": "301-853-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 ANNAPOLIS RD STE 305",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699183",
"telephone_number": "301-853-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRINGTON",
"first_name": "NIKKI",
"middle_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Dale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.