Active NPI
Priyank Mistry, PT, DPT, MS
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1124699251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27757
- Practice address
- 2700 Barker St
Silver Spring, MD 20910-1001 - Phone
- (301) 565-0300
- Fax
- (301) 565-6794
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 27757 | MD | Primary |
Addresses
Primary practice location
2700 Barker St
Silver Spring, MD 20910-1001
Mailing address
10262 Lake Linganore Blvd
New Market, MD 21774-6883
Phone (201) 640-1582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27757 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1124699251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10262 LAKE LINGANORE BLVD",
"city": "NEW MARKET",
"state": "MD",
"postal_code": "217746883",
"telephone_number": "201-640-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 BARKER ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101001",
"telephone_number": "301-565-0300",
"fax_number": "301-565-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "PRIYANK",
"name_prefix": "Dr.",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.