Active NPI
Akshay David Charles, PHYSICAL THERAPIST
- Physical Therapist
- Washington, DC
National Provider Identifier
1295370070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT872625
- Practice address
- 650 Pennsylvania Ave SE Ste 170
Washington, DC 20003-4338 - Phone
- (202) 544-4874
- NPI assigned
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27701 | MD | |
| Physical Therapist | 225100000X | PT872625 | DC | Primary |
Addresses
Primary practice location
650 Pennsylvania Ave SE Ste 170
Washington, DC 20003-4338
Mailing address
PO Box 419666
Boston, MA 02241-9666
Phone (410) 970-8190
Other practice location 1
5474 Saint Barnabas Rd Unit S
Oxon Hill, MD 20745-3622
Phone (301) 505-0555
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT872625 | DC | MD | Physical Therapist |
| 27701 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Laurel, MD
- NPI 1225217334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1295370070",
"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": "650 PENNSYLVANIA AVE SE STE 170",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034338",
"telephone_number": "202-544-4874"
}
],
"practiceLocations": [
{
"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"
}
],
"basic": {
"last_name": "CHARLES",
"first_name": "AKSHAY DAVID",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27701",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT872625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.