Individual provider Active NPI

Ravinaben Vaghasia

  • Physical Therapist
  • Owings Mills, MD
National Provider Identifier
1417700535
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9934 Reisterstown Rd # 18E
Owings Mills, MD 21117-3945
Phone
(240) 545-0507
Fax
(410) 842-2770
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 MD Primary

Addresses

Primary practice location

9934 Reisterstown Rd # 18E
Owings Mills, MD 21117-3945

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508003335 MD Practitioner - Physical Therapist in Private Practice 5698116648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone (410) 658-0100

817 Maiden Choice LN
Baltimore, MD 21228-3680
Phone (443) 297-1862

8511 Liberty Rd
Suite BB
Randallstown, MD 21133-4837
Phone (443) 426-9100

9934 Reisterstown Rd
18E
Owings Mills, MD 21117-3945
Phone (240) 545-0507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Ati Holdings, LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1417700535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 REISTERSTOWN RD # 18E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173945",
            "telephone_number": "240-545-0507",
            "fax_number": "410-842-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGHASIA",
        "first_name": "RAVINABEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.