Individual provider Active NPI

Vijiya S Rathod

  • Physical Therapist
  • Gambrills, MD
National Provider Identifier
1447608765
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19984 Issued in MD
Practice address
2634 Brandermill Blvd
Gambrills, MD 21054-1651
Phone
(410) 721-7201
Fax
(410) 721-7580
NPI assigned
May 26, 2016
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 19984 MD Primary

Addresses

Primary practice location

2634 Brandermill Blvd
Gambrills, MD 21054-1651

Mailing address

9881 Broken Land Parkway
Suite 103
Columbia, MD 21046
Phone (240) 841-2641

Other practice location 1

9881 Broken Land Pkwy
Suite 103
Columbia, MD 21046-1172
Phone (240) 841-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160818002170 MD Practitioner - Physical Therapist in Private Practice 9436444296 Reassigns benefits to 2 organizations
I20230304000109 DC Practitioner - Physical Therapist in Private Practice 9436444296 Reassigns benefits to 2 organizations
I20260214000219 VA Practitioner - Physical Therapist in Private Practice 9436444296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians
Glen Burnie Physical Therapy and Sportscare LLCGroup PAC ID 0042102592, 25 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

3127 Valley Ave
Winchester, VA 22601-2635
Phone (540) 667-1800

8890 Centre Park Dr
Suite 400
Columbia, MD 21045-2170
Phone (410) 884-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19984MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group, PA Current Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Dec 29, 2025 Accepting new patients

Locations

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 478-4737

6250 Old Dobbin Ln
Columbia, MD 21045

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

3127 Valley Ave
Winchester, VA 22601
Phone (540) 667-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1447608765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PARKWAY",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "240-841-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541651",
            "telephone_number": "410-721-7201",
            "fax_number": "410-721-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9881 Broken Land Pkwy",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461172",
            "country_code": "US",
            "telephone_number": "240-841-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHOD",
        "first_name": "VIJIYA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

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

Verify at the official NPI Registry.