Active NPI
Anand Balajee Balasubramanian
- Physical Therapist
- Fort Washington, MD
National Provider Identifier
1821579848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25432
- Practice address
- 12021 Livingston Rd
Fort Washington, MD 20744-4210 - Phone
- (301) 292-0300
- NPI assigned
- Aug 27, 2018
- Sex
- Male
- 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 | 25432 | MD | Primary |
Addresses
Primary practice location
12021 Livingston Rd
Fort Washington, MD 20744-4210
Mailing address
12021 Livingston Rd
Fort Washington, MD 20744-4210
Phone (301) 292-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12516 Over Ridge Rd
Potomac, MD 20854-2441
PO Box
Suite 88
Woodland, WA 98674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25432 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relive in-Home Physical Therapy LLC | Physical Therapist | Current | 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": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1821579848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 LIVINGSTON RD",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444210",
"telephone_number": "301-292-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 LIVINGSTON RD",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444210",
"telephone_number": "301-292-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASUBRAMANIAN",
"first_name": "ANAND BALAJEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.