Khadijeh Vali

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3570 Saint Johns LN
Ellicott City, MD 21042-4020

Phone

(410) 461-6776

Fax

(410) 461-3206

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pivot Physical Therapy of Central Maryland LLCGroup PAC ID 3173051042, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pivot Physical Therapy of Central Maryland LLC

  • Clinic/Center
  • Ellicott City, MD
  • NPI 1477211704

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Maryland Sportscare & Rehab LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  DC

  Medicare reassignment NPD
• Maryland Sportscare & Rehab, LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851401400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 LINKS CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422001",
            "telephone_number": "410-750-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 SAINT JOHNS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424020",
            "telephone_number": "410-461-6776",
            "fax_number": "410-461-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALI",
        "first_name": "KHADIJEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "18161",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Surgical Associates, PA
• Claudio L. Urquiaga, D.D.S.
• Samuel John Montecalvo Uy, PTRP
• Amulya Chandra Vakharia
• Lia A. Valenzuela, CRNA
• Mitchell Arnold Vance, D.D.S.
• Vanessa Hong, PH.D.
• Jennifer Nahomy Vargas
• Jisha S Varghese, A-GNP-C
• Sarah K Varghese I, MD

• Physical Therapist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.