Siddhi Pawaskar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29392 Issued in MD

Practice address

14405 Laurel PL Ste 102
Laurel, MD 20707-6102

Phone

(301) 498-1604

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment Care Compare group NPD
• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334

  DC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1063101541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 48TH AVE APT 413",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402485",
            "telephone_number": "909-845-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 LAUREL PL STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076102",
            "telephone_number": "301-498-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWASKAR",
        "first_name": "SIDDHI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennie Lavet Patmon Jr., DPM
• Chanel Patrick
• Chevonne Paul, LMT, CMT, MMP
• Kimberlie Paul, RN
• Ky'Mera Pauling
• Pax Pharmacy LLC
• Peaceful Minds Therapy Center
• Pearle Vision Center
• Ronald Charles Pearlman, PH.D., CCC-A, DABNM
• Yolanda Pearson, LPC

• Physical Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.