Individual provider Active NPI

Anjali R Ghodake, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1023677200
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27395 Issued in MD
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220427002081 MD Practitioner - Physical Therapist in Private Practice 8426445107 Reassigns benefits to 1 organization
I20230407001981 DC Practitioner - Physical Therapist in Private Practice 8426445107 Reassigns benefits to 1 organization

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
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

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 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Jan 22, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Active Physical Therapy Services, LLC PastSince Apr 25, 2021 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.

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.

Verify at the official NPI Registry.