Individual provider Active NPI

Behzad Mehdi Khabazian, DPT

  • Physical Therapist
  • Olney, MD
National Provider Identifier
1447632666
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25511 Issued in MD
Practice address
17902 Georgia Ave
Ste 100
Olney, MD 20832
Phone
(301) 774-1789
Fax
(301) 774-1394
NPI assigned
Jun 24, 2015
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 25511 MD Primary

Addresses

Primary practice location

17902 Georgia Ave
Ste 100
Olney, MD 20832

Mailing address

7500 Hanover Pkwy
Ste 103.
Greenbelt, MD 20770
Phone (301) 446-1644

Other names 1

  • Behzad Khabazian Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150806012056 DC Practitioner - Physical Therapist in Private Practice 4587978341 Reassigns benefits to 3 organizations
I20211203001369 MD Practitioner - Physical Therapist in Private Practice 4587978341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

19785 Crystal Rock Dr
Suite 311
Germantown, MD 20874-4732
Phone (301) 540-3529

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25511MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients
Mosaddegh Physical Therapy Inc Physical Therapist CurrentSince Jun 15, 2015 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Aug 26, 2021 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Aug 26, 2021 Accepting new patients
Mosaddegh Physical Therapy Inc. Physical Therapist PastSince Oct 13, 2019 Accepting new patients
Seneca Physical Therapy Inc Physical Therapist PastSince Mar 10, 1992 Accepting new patients

Locations

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

17902 Georgia Ave
Ste 100
Olney, MD 20832
Phone (301) 260-8383

17902 Georgia Ave
Ste 220
Olney, MD 20832

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 6

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1447632666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE 103.",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE",
            "address_2": "STE 100",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-774-1789",
            "fax_number": "301-774-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDI KHABAZIAN",
        "first_name": "BEHZAD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEHZAD",
            "last_name": "KHABAZIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.