Individual provider Active NPI

Lena Hedayat

  • Physical Therapist
  • Oxon Hill, MD
National Provider Identifier
1417564956
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5248-0 Issued in HI
Practice address
6196 Oxon Hill Rd Ste 450
Oxon Hill, MD 20745-3173
Phone
(301) 839-0400
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5248-0 HI Primary

Addresses

Primary practice location

6196 Oxon Hill Rd Ste 450
Oxon Hill, MD 20745-3173

Mailing address

64-974 Mamalaho Hwy
Ste 103
Kamuela, HI 96743-7334
Phone (310) 919-8746

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehab-NH, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241206002784 MA Practitioner - Physical Therapist in Private Practice 7911395116 Reassigns benefits to 2 organizations
I20250515001016 NH Practitioner - Physical Therapist in Private Practice 7911395116 Reassigns benefits to 1 organization

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
Fox Rehab-NH, LLCGroup PAC ID 2466741293, 24 clinicians

Practice addresses (Care Compare)

Bedford, NH 03110
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25513MAMDAmbulatory Care Pharmacist
PT-5248-0HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Oct 29, 2024 Accepting new patients
Fox Rehab-NH, LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

110 Haverhill Rd
Ste 292
Amesbury, MA 01913
Phone (978) 834-6392

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

15 Constitution Dr
Ste 144
Bedford, NH 03110

15 Constitution Dr
Fl 1
Bedford, NH 03110
Phone (844) 955-1440

7 Carnegie Plz
Cherry Hill, NJ 08003

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1417564956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-974 MAMALAHO HWY",
            "address_2": "STE 103",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437334",
            "telephone_number": "310-919-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 450",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453173",
            "telephone_number": "301-839-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT",
        "first_name": "LENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5248-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab-NH, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "15 Constitution Dr",
            "address_2": "1st Floor Suite 144",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.

Verify at the official NPI Registry.