Individual provider Active NPI

Anjana Viswanathan, MSPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1003340316
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24425 Issued in MD
Practice address
192 Halpine Rd Ste D
Rockville, MD 20852-7645
Phone
(240) 514-2400
Fax
(301) 816-6968
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 24425 MD Primary

Addresses

Primary practice location

192 Halpine Rd Ste D
Rockville, MD 20852-7645

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105001720 CA Practitioner - Physical Therapist in Private Practice 1557638749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iron Point Physical Therapy IncGroup PAC ID 0749636231, 10 clinicians
Burger Physical Therapy Services IncGroup PAC ID 8921019746, 37 clinicians

Practice addresses (Care Compare)

50 Iron Point Cir
Suite 100
Folsom, CA 95630-8594
Phone (916) 836-1111

7200 S Land Park Dr
Suite 300
Sacramento, CA 95831-3670
Phone (916) 391-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24425MDMDPharmacist
PT 24425MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Point Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Burger Physical Therapy Services Inc CurrentSince Sep 14, 2022 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients

Locations

1301 E Bidwell St
Ste 101
Folsom, CA 95630
Phone (916) 983-5900

50 Iron Point Cir
Ste 100
Folsom, CA 95630
Phone (916) 836-1111

1301 E Bidwell St
Ste 201
Folsom, CA 95630

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1003340316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 HALPINE RD STE D",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208527645",
            "telephone_number": "240-514-2400",
            "fax_number": "301-816-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "ANJANA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "PT 24425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.