Active NPI
Anjali R Ghodake, DPT
- Physical Therapist
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27395
- Practice address
- 2441 N Harrison St Ste 2443
Arlington, VA 22207-1611 - Phone
- (571) 533-3686
- Fax
- (571) 534-4800
- NPI assigned
- Jun 11, 2019
- Last updated
- Jan 9, 2024
- 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 | 27395 | MD | Primary |
Addresses
Primary practice location
2441 N Harrison St Ste 2443
Arlington, VA 22207-1611
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
405 S Jefferson St Unit B
Frederick, MD 21701-6272
Phone (301) 662-9335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2441 N Harrison St
Suite 2443
Arlington, VA 22207-1611
Phone (571) 533-3686
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Sage Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Active Physical Therapy Services, LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
405 S Jefferson St
Unit B
Frederick, MD 21701
Phone (301) 662-9335
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200
2441 N Harrison St
Ste 2443
Arlington, VA 22207
Phone (571) 533-3686
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
dba Advanced Physical Therapy
- Physical Therapy Clinic/Center
- Cambridge, MD
- NPI 1467757575
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Physical Therapy Clinic/Center
- Frederick, MD
- NPI 1043892797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1023677200",
"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": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 N HARRISON ST STE 2443",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071611",
"telephone_number": "571-533-3686",
"fax_number": "571-534-4800"
}
],
"practiceLocations": [
{
"address_1": "405 S Jefferson St Unit B",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217016272",
"country_code": "US",
"telephone_number": "301-662-9335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHODAKE",
"first_name": "ANJALI",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.