Individual provider Active NPI

Ankita Suhas Wadadekar, MSPT

  • Physical Therapist
  • Timonium, MD
National Provider Identifier
1497989750
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23846 Issued in MD
Practice address
7 W Ridgely Rd
A
Timonium, MD 21093-5135
Phone
(443) 921-9890
Fax
(410) 252-4590
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23846 MD Primary
Physical Therapist 225100000X 18621 MA
Physical Therapist 225100000X 31184 NY
Pediatric Physical Therapist 2251P0200X 23846 MD

Addresses

Primary practice location

7 W Ridgely Rd
A
Timonium, MD 21093-5135

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160628000527 MD Practitioner - Physical Therapist in Private Practice 3577854231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18621MAMDPhysical Therapist
23846MDMDPhysical Therapist
31184NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Sports Medicine and Rehabilitation LLC Current Accepting new patients
Lifebridge Sports Medicine & Rehabilitation, LLC CurrentSince Sep 22, 2025 Accepting new patients
Lifebridge Sports Medicine and Rehabilitation LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

8600 La Salle Rd
Ste 322
Towson, MD 21286
Phone (410) 828-6778

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, 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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1497989750",
    "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",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W RIDGELY RD",
            "address_2": "A",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935135",
            "telephone_number": "443-921-9890",
            "fax_number": "410-252-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADADEKAR",
        "first_name": "ANKITA",
        "middle_name": "SUHAS",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23846",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18621",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "31184",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "23846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.