Individual provider Active NPI

Ishan Sinha

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1104644194
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30175 Issued in MD
Practice address
3200 Tower Oaks Blvd Ste 450
Rockville, MD 20852-4225
Phone
(301) 881-4610
NPI assigned
Sep 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 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 30175 MD Primary

Addresses

Primary practice location

3200 Tower Oaks Blvd Ste 450
Rockville, MD 20852-4225

Mailing address

4017 Postgate Ter Apt 303
Silver Spring, MD 20906-6013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017002231 DC Practitioner - Physical Therapist in Private Practice 5799217550 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

9135 Piscataway Rd
Ste 305
Clinton, MD 20735
Phone (301) 856-4803

12788 Old Fort Rd
Ft Washington, MD 20744
Phone (301) 292-0207

3200 Tower Oaks Blvd
Ste 450
Rockville, MD 20852
Phone (301) 881-4610

Organizations & group practices 2

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1104644194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 POSTGATE TER APT 303",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209066013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TOWER OAKS BLVD STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524225",
            "telephone_number": "301-881-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "ISHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.