Tanuja Patil

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25746 Issued in MD

Practice address

5474 Saint Barnabas Rd Unit S
Oxon Hill, MD 20745-3622

Phone

(301) 505-0555

NPI assigned

Jan 20, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1083071120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419666",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419666",
            "telephone_number": "410-970-8190",
            "fax_number": "410-313-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 SAINT BARNABAS RD UNIT S",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453622",
            "telephone_number": "301-505-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4922 LaSalle Rd",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207823302",
            "country_code": "US",
            "telephone_number": "301-864-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Pennsylvania Ave SE Ste 170",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200034338",
            "country_code": "US",
            "telephone_number": "202-544-4874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "TANUJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vabian Lewitt Paden, M.D.
• Sungbum Park, DDS
• Jemah Parker, RN
• Chintan P Patel, MD
• Pathways 2 Success, LLC
• Ernestine Patterson
• Paul K. Piontkowski D.D.S. PC
• Jane Feng Peng, M.D,, PHD
• Michael Pensabene, CCC-SLP
• Laketia Peoples

• Physical Therapist in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.