Geraldine Jessica Jaganathan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5506 Issued in MD

Practice address

3200 Crain Hwy Ste 103
Waldorf, MD 20603-4841

Phone

(240) 419-5101

Fax

(240) 419-5106

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Absolute Physical Therapy, LLC

  • Physical Therapist
  • Waldorf, MD
  • NPI 1548539406
  NPD
• Absolute Rehabilitative Therapy, Inc

  • Physical Therapist
  • Lanham, MD
  • NPI 1770721383
  NPD (past)

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1508449000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 CHAPEL COVE DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075843",
            "telephone_number": "301-613-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034841",
            "telephone_number": "240-419-5101",
            "fax_number": "240-419-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGANATHAN",
        "first_name": "GERALDINE",
        "middle_name": "JESSICA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "waldorf@absolutert.com",
            "affiliation": "Y",
            "endpointDescription": "office email address",
            "affiliationName": "Absolute Rehabilitative Therapy, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9841 Greenbelt Rd Ste 103",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207066216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greenbelt@absolutert.com",
            "affiliation": "Y",
            "endpointDescription": "office email",
            "affiliationName": "Absolute Physical Therapy, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Crain Hwy Ste 103",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206034841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dainty J Jackson, D. O.
• Gianna Latrice Jackson, GMFT
• Joyce Jacquetta Jackson, NP
• Nathaniel Jackson Jr.
• Janelle Adrienne Jacobs
• Amin Jahedi
• Jameel Care LLC
• James F Gesl DDS & Associates PC
• James F McGuckin MD of MD PA
• Allison James, LCPC

• Physical Therapy Assistant in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.