Active NPI
Anisha Ajgaonkar, P.T., M.H.S.
- Physical Therapist
- Hayward, CA
National Provider Identifier
1750740387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295636
- Practice address
- 1335 Martin Luther King Dr
Hayward, CA 94541-4397 - Phone
- (408) 269-0701
- NPI assigned
- Feb 10, 2016
- Last updated
- Feb 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295636 | NU | |
| Physical Therapist | 225100000X | 05011766A | IN | |
| Physical Therapist | 225100000X | 295636 | CA | Primary |
Addresses
Primary practice location
1335 Martin Luther King Dr
Hayward, CA 94541-4397
Mailing address
1335 Martin Luther King Dr
Hayward, CA 94541-4397
Phone (317) 313-6186
Other practice location 1
12251 Highway 41 N
Suite A
Evansville, IN 47725-7014
Phone (812) 868-1225
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 |
|---|---|---|---|
| 295636 | CA | MD | Physical Therapist |
| 05011766A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trurehab LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Evansville, IN
- NPI 1700137353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1750740387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 MARTIN LUTHER KING DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414397",
"telephone_number": "317-313-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 MARTIN LUTHER KING DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414397",
"telephone_number": "408-269-0701"
}
],
"practiceLocations": [
{
"address_1": "12251 Highway 41 N",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477257014",
"country_code": "US",
"telephone_number": "812-868-1225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AJGAONKAR",
"first_name": "ANISHA",
"credential": "P.T., M.H.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": "295636",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011766A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.