Active Physical Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE PHYSICAL THERAPY SERVICES, LLC

Practice address

14405 Laurel PL
Ste 102
Laurel, MD 20707-6102

Phone

(301) 498-1604

Fax

(301) 498-1608

NPI assigned

Oct 25, 2007

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Bray

Title

Director

Phone

(703) 239-2310

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Sage Physical Therapy & Wellness LLC

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575

  Member Of

  NPD member

Locations

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica L Canada, DPT

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1609602747

  DC

  Medicare reassignment Care Compare group NPD
• Tushar Narendran

  • Physical Therapist
  • Laurel, MD
  • NPI 1164139994

  DC

  Medicare reassignment Care Compare group NPD
• Trisha A Whittaker, OT

  • Occupational Therapist
  • Clinton, MD
  • NPI 1336490408

  DC

  Medicare reassignment Care Compare group NPD
• Emma M Loeffler, OT

  • Occupational Therapist
  • Arlington, VA
  • NPI 1184453912

  DC

  Medicare reassignment Care Compare group NPD
• David Dinh, PT, DPT

  • Physical Therapist
  • Rockville, MD
  • NPI 1821853227

  DC

  Medicare reassignment NPD
• Namita Jaisingh Ghorpade, PT

  • Physical Therapist
  • Rockville, MD
  • NPI 1801459953

  DC

  Medicare reassignment NPD
• Ryan Grandolfo Grandolfo

  • Physical Therapist
  • Laurel, MD
  • NPI 1447103130

  DC

  Medicare reassignment NPD
• Joseph Jegede, PT

  • Physical Therapist
  • Wheaton, MD
  • NPI 1396556122

  DC

  Medicare reassignment NPD
• Darren Joseph, DPT

  • Physical Therapist
  • Columbia, MD
  • NPI 1740647262

  DC

  Medicare reassignment NPD
• Anjita K Khadka, PT

  • Physical Therapist
  • Germantown, MD
  • NPI 1124545124

  DC

  Medicare reassignment NPD
• Raymar McClain, PT

  • Physical Therapist
  • Oxon Hill, MD
  • NPI 1720740533

  DC

  Medicare reassignment NPD
• Vaishnavi V Nadkarni, PT

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1235623182

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1225217334",
    "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",
            "fax_number": "410-313-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 LAUREL PL",
            "address_2": "STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076102",
            "telephone_number": "301-498-1604",
            "fax_number": "301-498-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 Piscataway Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207352554",
            "country_code": "US",
            "telephone_number": "301-877-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Tower Oaks Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524225",
            "country_code": "US",
            "telephone_number": "301-881-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 University Blvd E Ste D",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207834694",
            "country_code": "US",
            "telephone_number": "301-434-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Ritchie Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613393",
            "country_code": "US",
            "telephone_number": "410-863-5939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8887 Woodyard Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207352754",
            "country_code": "US",
            "telephone_number": "301-877-5460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 N Charles St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015307",
            "country_code": "US",
            "telephone_number": "410-837-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Pennsylvania Ave SE Ste 170",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200034338",
            "country_code": "US",
            "telephone_number": "202-544-4874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7021 Martin Luther King Jr Hwy",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207854016",
            "country_code": "US",
            "telephone_number": "301-341-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5474 Saint Barnabas Rd Unit S",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453622",
            "country_code": "US",
            "telephone_number": "301-505-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3165 Crain Hwy",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034847",
            "country_code": "US",
            "telephone_number": "301-885-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3742 10th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200171820",
            "country_code": "US",
            "telephone_number": "202-269-0358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Perry Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772144",
            "country_code": "US",
            "telephone_number": "301-916-8540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Merritt Blvd",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212222113",
            "country_code": "US",
            "telephone_number": "410-285-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Greenbelt Rd Ste U15",
            "address_purpose": "LOCATION",
            "city": "Berwyn Heights",
            "state": "MD",
            "postal_code": "207402347",
            "country_code": "US",
            "telephone_number": "301-220-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-239-2310"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "8825",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.