Kemal Ambakisye

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30255 Issued in MD

Practice address

5416 Silver Hill Rd
District Heights, MD 20747-2039

Phone

(301) 420-3249

NPI assigned

Jul 25, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1386526606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 OLD SILVER HILL RD",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472113",
            "telephone_number": "301-420-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 SILVER HILL RD",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472039",
            "telephone_number": "301-420-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBAKISYE",
        "first_name": "KEMAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872769",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Ajayi, RN
• Marie Ajibade-Akonai
• Morvarid Alaghmand, M.D.
• Alek'S House LLC
• Alek'S House LLC
• Kevin A Anderson, MPT
• Piper Miechelle Andrews
• Festus Uzor Ani, NONE
• Hira Ansari, DDS
• Andrew Anyan, PHARM D., RPH

• Physical Therapist in District Heights, MD
• Providers in District Heights, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.