Organization Active NPI

Relive in-Home Physical Therapy LLC

  • Physical Therapist
  • Potomac, MD
National Provider Identifier
1689547424
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RELIVE IN-HOME PHYSICAL THERAPY LLC
Practice address
12516 Over Ridge Rd
Potomac, MD 20854-2441
Phone
(540) 490-0467
NPI assigned
Sep 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Vidhya Rajagopal, P.T.NPI 1275014292
Title
Owner Provider Authorized Official
Phone
(540) 490-0467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12516 Over Ridge Rd
Potomac, MD 20854-2441

Mailing address

12516 Over Ridge Rd
Potomac, MD 20854-2441
Phone (540) 490-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251015000045 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820585664 Receives reassigned benefits from 2 practitioners
Practice locations: Potomac, MD
O20251015000768 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820585664 Receives reassigned benefits from 2 practitioners
Practice locations: Potomac, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1689547424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12516 OVER RIDGE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542441",
            "telephone_number": "540-490-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12516 OVER RIDGE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542441",
            "telephone_number": "540-490-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVE IN-HOME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "RAJAGOPAL",
        "authorized_official_first_name": "VIDHYA",
        "authorized_official_title_or_position": "OWNER PROVIDER AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "540-490-0467",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.