Individual provider Active NPI

Priya Malini Das, MSPT,MSED

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1174564660
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20481 Issued in MD
Practice address
5435 Beaverkill Rd
Columbia, MD 21044-2359
Phone
(410) 740-0883
Fax
(410) 740-9970
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 022145 NY
Physical Therapist 225100000X 20481 MD Primary

Addresses

Primary practice location

5435 Beaverkill Rd
Columbia, MD 21044-2359

Mailing address

2369 Grand Ave
Bellmore, NY 11710-3353
Phone (516) 238-9879

Other practice location 1

49 Church St
Freeport, NY 11520-3830
Phone (516) 623-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191015001204 MD Practitioner - Physical Therapist in Private Practice 5496855090 Reassigns benefits to 2 organizations
I20200529001223 DC Practitioner - Physical Therapist in Private Practice 5496855090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians
Fox Rehab PT MD LLCGroup PAC ID 6709028822, 92 clinicians

Practice addresses (Care Compare)

5435 Beaverkill Rd
Columbia, MD 21044-2359
Phone (410) 740-0883

6451 N Charles St
Baltimore, MD 21212-1010
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20481MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Managed Health Care Services & Supplies, Inc. Current Accepting new patients

Locations

5435 Beaverkill Rd
Columbia, MD 21044
Phone (410) 740-0883

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

3570 Saint Johns Ln
Ste 13
Ellicott City, MD 21042
Phone (410) 461-6776

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1174564660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103353",
            "telephone_number": "516-238-9879",
            "fax_number": "516-781-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BEAVERKILL RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442359",
            "telephone_number": "410-740-0883",
            "fax_number": "410-740-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Church St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115203830",
            "country_code": "US",
            "telephone_number": "516-623-6253",
            "fax_number": "516-623-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "PRIYA",
        "middle_name": "MALINI",
        "name_prefix": "Miss",
        "credential": "MSPT,MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "022145",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.