Active NPI
Vaibhavi Hasit Mehta, PT
- Physical Therapist
- Laurel, MD
National Provider Identifier
1164969002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26296
- Practice address
- 6936 Andersons Way
Apt# 202
Laurel, MD 20707-6950 - Phone
- (980) 333-8876
- NPI assigned
- Jan 30, 2017
- Sex
- Female
- 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 | 26296 | MD | Primary |
Addresses
Primary practice location
6936 Andersons Way
Apt# 202
Laurel, MD 20707-6950
Mailing address
PO Box 4058
Apt# 202
Crofton, MD 21114-4058
Phone (410) 315-9080
Other names 1
- Vaibhavi P Shah
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26296 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
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.
-
- Physical Therapist
- Fairfax, VA
- NPI 1235720848
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1164969002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4058",
"address_2": "APT# 202",
"city": "CROFTON",
"state": "MD",
"postal_code": "211144058",
"telephone_number": "410-315-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6936 ANDERSONS WAY",
"address_2": "APT# 202",
"city": "LAUREL",
"state": "MD",
"postal_code": "207076950",
"telephone_number": "980-333-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "VAIBHAVI",
"middle_name": "HASIT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VAIBHAVI",
"last_name": "SHAH",
"middle_name": "P",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.