Ali Diamond Kanji, D.P.T.
Individual provider Active NPI Physical Therapist · Baltimore, MD
NPI 1326265604 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1326265604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 22133 (MD)
- Practice address
- 416 E 30TH St
Baltimore, MD 21218-3934 - Phone
- (410) 889-0727
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22133 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation and Wellness Consulting, LLC | Current | Accepting new patients | |
| Rehabilitation and Wellness Consulting, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22133 | MD | Yes |
Addresses
Primary practice location
416 E 30TH St
Baltimore, MD 21218-3934
Mailing address
416 E 30TH St
Baltimore, MD 21218-3934
Phone (410) 889-0727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22133 | Other | MD | LICENSE |
Other providers in Baltimore, MD
- Pamala Kanhai
- Kimia Khalatbari Kani
- Timothy Robert Kaniecki
- Folashade R Kanimodo
- Aparna Kanjhlia
- Famida Kanji
- Mohammed Yousef Kanjwal
- Rohan Anil Kankaria
- Sujatha Kannan
- Annie Vincent Kannarkat
All providers in Baltimore, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.