Kinnari Jaisinh Ashar
Individual provider Active NPI Physical Therapist · Potomac, MD
NPI 1366796641 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1366796641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 24367 (MD)
- Practice address
- 10220 River Rd
Potomac, MD 20854-4916 - Phone
- (301) 299-0648
- Fax
- (301) 299-0649
- NPI assigned
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maryland Sportscare and Rehab LLC
Practice addresses (Care Compare)
10220 River Rd
Potomac, MD 20854-4916
Phone (301) 299-0648
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150930001774 | DC | Practitioner - Physical Therapist in Private Practice | 6002123650 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24367 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current |
Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current |
Accepting new patients |
Locations
9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761
10220 River Rd
Potomac, MD 20854
Phone (240) 499-8854
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24367 | MD | Yes |
Addresses
Primary practice location
10220 River Rd
Potomac, MD 20854-4916
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2664
Other providers in Potomac, MD
- Amy Light, DMD, PC
- Aram Faramarz Mokhtari
- Alexandra Arbogast
- Arden Courts of Potomac MD LLC
- Korosh Eric Armakan
- Meisam Ashkezary
- Judith Asner
- Assured All Community Group
- Christopher Perry Austin
- Avicenna Acupuncture &Herbal Medicine
All providers in Potomac, 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 Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.