Individual provider Active NPI

Anisha Ajgaonkar, P.T., M.H.S.

  • Physical Therapist
  • Hayward, CA
National Provider Identifier
1750740387
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295636 Issued in CA
Practice address
1335 Martin Luther King Dr
Hayward, CA 94541-4397
Phone
(408) 269-0701
NPI assigned
Feb 10, 2016
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
295636CAMDPhysical Therapist
05011766AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.