Individual provider Active NPI

Man Mohita

  • Physical Therapist
  • White Plains, MD
National Provider Identifier
1639867393
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29399 Issued in MD
Practice address
4240 Altamont PL Ste 101
White Plains, MD 20695-3052
Phone
(301) 638-8542
NPI assigned
Apr 28, 2023
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 050108 NY
Physical Therapist 225100000X 29399 MD Primary

Addresses

Primary practice location

4240 Altamont PL Ste 101
White Plains, MD 20695-3052

Mailing address

10980 Grantchester Way
Columbia, MD 21044-6097
Phone (877) 772-6505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104003858 DC Practitioner - Physical Therapist in Private Practice 2668905233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence Physical Therapy, LLCGroup PAC ID 3779769971, 10 clinicians

Practice addresses (Care Compare)

7801 Old Branch Ave
Suite 105
Clinton, MD 20735-1641
Phone (301) 856-8386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050108NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
National Rehabilitation Hospital, Inc. Physical Therapist PastSince Jan 7, 2024 Accepting new patients
Evidence Physical Therapy, LLC Physical Therapist PastSince Oct 28, 2024 Accepting new patients

Locations

7801 Old Branch Ave
Ste 105
Clinton, MD 20735
Phone (301) 352-8370

12150 Annapolis Rd
Ste 201
Glenn Dale, MD 20769
Phone (301) 352-8370

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1639867393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10980 GRANTCHESTER WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446097",
            "telephone_number": "877-772-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 ALTAMONT PL STE 101",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953052",
            "telephone_number": "301-638-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHITA",
        "first_name": "MAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050108",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.