Active NPI
Sujata Mankar
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1699222992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25448
- Practice address
- 12325 New Hampshire Ave
Silver Spring, MD 20904-2957 - Phone
- (301) 622-4600
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25448 | MD | Primary |
Addresses
Primary practice location
12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Mailing address
704 Clopper Road
Apt# 32
Gaithersburg, MD 20878
Phone (646) 339-3764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25448 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1699222992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 CLOPPER ROAD",
"address_2": "APT# 32",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20878",
"telephone_number": "646-339-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12325 NEW HAMPSHIRE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042957",
"telephone_number": "301-622-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANKAR",
"first_name": "SUJATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.