Individual provider Active NPI

Ajay K Barma

  • Physical Therapy Assistant
  • Fredericksburg, VA
National Provider Identifier
1497028476
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306603069 Issued in VA
Practice address
62 Sebastian Rd
C/O Dr. Goel
Fredericksburg, VA 22405-5733
Phone
(276) 639-6613
NPI assigned
Feb 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306603069 VA Primary

Addresses

Primary practice location

62 Sebastian Rd
C/O Dr. Goel
Fredericksburg, VA 22405-5733

Mailing address

62 Sebastian Rd
C/O Dr. Goel
Fredericksburg, VA 22405-5733
Phone (276) 639-6613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306603069VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1497028476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SEBASTIAN RD",
            "address_2": "C/O DR. GOEL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224055733",
            "telephone_number": "276-639-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SEBASTIAN RD",
            "address_2": "C/O DR. GOEL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224055733",
            "telephone_number": "276-639-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARMA",
        "first_name": "AJAY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.