Active NPI
Jyoti Panchal, DPT
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27393
- Practice address
- 809 N Charles St Ste 201
Baltimore, MD 21201-5307 - Phone
- (410) 837-4171
- NPI assigned
- Apr 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 27393 | MD | |
| Physical Therapist | 225100000X | 27393 | MD | Primary |
Addresses
Primary practice location
809 N Charles St Ste 201
Baltimore, MD 21201-5307
Mailing address
PO Box 419666
Boston, MA 02241-9666
Phone (410) 970-8190
Other practice location 1
12150 Annapolis Rd
Glenn Dale, MD 20769-9183
Phone (301) 352-8370
Other practice location 2
192 Halpine Rd Ste D
Rockville, MD 20852-7645
Phone (240) 514-2400
Other practice location 3
7021 Martin Luther King Jr Hwy
Landover, MD 20785
Phone (301) 341-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, NJ
Enrollment records 3
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)
818 W Diamond Ave
Suite 110
Gaithersburg, MD 20878-1450
Phone (301) 388-5960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27393 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Forever Fit Physical Therapy & Wellness | Physical Therapist | Current | Accepting new patients |
| Forever Fit Physical Therapy & Wellness, LLC | Current | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Active Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Maryland Spine Rehab, LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999
9 Lee Airpark Dr
Ste 400
Edgewater, MD 21037
Phone (443) 607-1469
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
818 W Diamond Ave
Ste 110
Gaithersburg, MD 20878
Phone (301) 388-5960
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
192 Halpine Rd
Ste D
Rockville, MD 20852
Phone (240) 514-2400
15850 Crabbs Branch Way
Ste 120
Rockville, MD 20855
Phone (301) 388-5960
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIEEAA
Organizations & group practices 6
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 Therapy Clinic/Center
- Burtonsville, MD
- NPI 1538489802
DC
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Physical Therapist
- Largo, MD
- NPI 1144892555
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Physical Therapist
- Laurel, MD
- NPI 1225217334
-
- Chiropractor
- Dundalk, MD
- NPI 1629251830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1164984837",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 N CHARLES ST STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015307",
"telephone_number": "410-837-4171"
}
],
"practiceLocations": [
{
"address_1": "12150 Annapolis Rd",
"address_purpose": "LOCATION",
"city": "Glenn Dale",
"state": "MD",
"postal_code": "207699183",
"country_code": "US",
"telephone_number": "301-352-8370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "192 Halpine Rd Ste D",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208527645",
"country_code": "US",
"telephone_number": "240-514-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7021 Martin Luther King Jr Hwy",
"address_purpose": "LOCATION",
"city": "Landover",
"state": "MD",
"postal_code": "20785",
"country_code": "US",
"telephone_number": "301-341-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHAL",
"first_name": "JYOTI",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "27393",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.