Active NPI
Mansiben Ravi Khambhati
- Physical Therapist
- Rockville, MD
National Provider Identifier
1093230385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26381
- Practice address
- 9901 Medical Center Dr
Rockville, MD 20850-3357 - Phone
- (240) 826-6000
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 26381 | MD | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Rockville, MD 20850-3357
Mailing address
1915 Kennedy Dr Apt 103
MC Lean, VA 22102-4730
Phone (732) 789-0308
Other names 1
- Mansi Ravi Khambhati
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
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)
3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26381 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
Organizations & group practices 1
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": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1093230385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 KENNEDY DR APT 103",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024730",
"telephone_number": "732-789-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "240-826-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMBHATI",
"first_name": "MANSIBEN",
"middle_name": "RAVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANSI",
"last_name": "KHAMBHATI",
"middle_name": "RAVI",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 7, 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.