NPIMap

Individual provider Active NPI

Rajeshwari Reddy, PT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1245697150
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23783 Issued in MD
Practice address
14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Phone
(301) 498-8100
NPI assigned
Jan 22, 2016
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 23783 MD Primary

Addresses

Primary practice location

14409 Greenview Dr Ste 102
Laurel, MD 20708-4213

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other practice location 1

7280 Montgomery Rd
#470
Elkridge, MD 21075-9103
Phone (443) 561-0893

Other identifiers 1

IdentifierTypeStateIssuer
23783OtherMDSTATE DEPARTMENT OF HEALTH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holding LLC Physical Therapist Past Accepting new patients
Associated Professional Rehabilitation Services, Inc. Physical Therapist PastSince Jul 25, 2021 Accepting new patients
Rehabilitation Services, Inc. Physical Therapist PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 3

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1245697150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14409 GREENVIEW DR STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084213",
            "telephone_number": "301-498-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 Montgomery Rd",
            "address_2": "#470",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210759103",
            "country_code": "US",
            "telephone_number": "443-561-0893",
            "fax_number": "410-379-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAJESHWARI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPARTMENT OF HEALTH",
            "identifier": "23783",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.