IndividualActive
Wanda Hairston, PTA
NPI 1750406435 · Physical Therapy Assistant · Severna Park, MD
Provider details
- NPI number
- 1750406435
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A1258 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Truck House Rd
Severna Park, MD 21146-2715
Phone: (410) 544-4220
Fax: (410) 647-9484
Street-level locationGet directions
Mailing address
3520 Derby Shire Cir
Windsor Mill, MD 21244-3624
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.