Mridula Kaimal, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26439 Issued in MD

Practice address

930 E Swan Creek Rd
Ft Washington, MD 20744-5250

Phone

(301) 292-9400

NPI assigned

Nov 29, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Pro Physical Therapy South LLCGroup PAC ID 4880919638, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Pro Physical Therapy South LLC

  • Physical Therapist
  • Fort Washington, MD
  • NPI 1124438700

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1639683675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 CORINTH CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408100",
            "telephone_number": "412-726-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E SWAN CREEK RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445250",
            "telephone_number": "301-292-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMAL",
        "first_name": "MRIDULA",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Johnson
• Melvin Johnson, CAC-AD
• Sandra Kay Johnson, FNP-BC
• Lauren J Jones, LICSW, LCSW-C
• Christiana Nwawueze Kagha, NP
• Annas F Kamara, SOCIAL WORKER
• Marie Kamara, CRNP
• Yogita M Kambli
• Pascal Montessori Kamgang
• Kandydina, LLC (Caring Matters Home Care)

• Physical Therapist in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.