Active NPI
Sarika Raina, D.P.T.
- Physical Therapist
- Gaithersburg, MD
National Provider Identifier
1457569683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21603
- Practice address
- 8907 Shady Grove CT
Gaithersburg, MD 20877-1308 - Phone
- (301) 921-9818
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21603 | MD | Primary |
| Physical Therapist | 225100000X | 17806 | MA |
Addresses
Primary practice location
8907 Shady Grove CT
Gaithersburg, MD 20877-1308
Mailing address
2232 Benedictine CT
Vienna, VA 22182-5130
Phone (703) 560-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200617000047 | DC | Practitioner - Physical Therapist in Private Practice | 0547566036 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8907 Shady Grove CT
Gaithersburg, MD 20877-1308
Phone (301) 921-9818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17806 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shady Grove Physical Therapy & Rehab Center, LLC | Current | Accepting new patients |
Locations
8907 Shady Grove Ct
Gaithersburg, MD 20877
Phone (301) 921-9818
Organizations & group practices 1
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": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457569683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 BENEDICTINE CT",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825130",
"telephone_number": "703-560-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8907 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771308",
"telephone_number": "301-921-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINA",
"first_name": "SARIKA",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21603",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.