Individual provider Active NPI

Prajakta Mayekar, PT

  • Physical Therapist
  • Clinton, MD
National Provider Identifier
1194242156
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26655 Issued in MD
Practice address
7905 Malcolm Rd Ste 201
Clinton, MD 20735-1749
Phone
(301) 856-0050
NPI assigned
Aug 29, 2017
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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 26655 MD Primary

Addresses

Primary practice location

7905 Malcolm Rd Ste 201
Clinton, MD 20735-1749

Mailing address

2670 Crain Hwy Ste 205
Waldorf, MD 20601-2816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000547 NY Practitioner - Physical Therapist in Private Practice 6103192059 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Medical PCGroup PAC ID 0648673665, 3 clinicians

Practice addresses (Care Compare)

1343 Webster Ave
Bronx, NY 10456-1805
Phone (917) 471-9217

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Sep 29, 2020 Accepting new patients
Neighborhood Medical PC CurrentSince Jan 1, 2024 Accepting new patients
High Level Care Physical Therapy, P.C. Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Occupational Therapy Group, LLP Past Accepting new patients

Locations

1343 Webster Ave
Bronx, NY 10456
Phone (917) 453-8417

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

265 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-4970

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1194242156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD STE 201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351749",
            "telephone_number": "301-856-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEKAR",
        "first_name": "PRAJAKTA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.