Active NPI
Toshita Hemant Ambegaonkar, PT
- Physical Therapist
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27342
- Practice address
- 2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841 - Phone
- (301) 859-3304
- Fax
- (301) 383-8305
- NPI assigned
- Jun 18, 2019
- Last updated
- May 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27342 | MD | Primary |
Addresses
Primary practice location
2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2875 Crain Hwy
Suite 6
Waldorf, MD 20601-2807
Phone (301) 859-3304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27342 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Sports Pro Physical Therapy South LLC | Physical Therapist | Current | Accepting new patients |
Locations
2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348
930 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-9400
2875 Crain Hwy
Ste 6
Waldorf, MD 20601
Phone (301) 859-3304
1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500
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.
-
dba Pivot Physical Therapy of Metro DC
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, MD, Physical Therapist
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1386204782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-373-2919",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 CRAIN HWY STE 6",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012841",
"telephone_number": "301-859-3304",
"fax_number": "301-383-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBEGAONKAR",
"first_name": "TOSHITA",
"middle_name": "HEMANT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.