Individual provider Active NPI

Nishtha C Sanghani, PT

  • Physical Therapist
  • Germantown, MD
National Provider Identifier
1861645491
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21295 Issued in MD
Practice address
12321 Middlebrook Rd Ste 103
Germantown, MD 20874-1512
Phone
(310) 428-1070
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 140442 MD
Physical Therapist 225100000X 21295 MD Primary

Addresses

Primary practice location

12321 Middlebrook Rd Ste 103
Germantown, MD 20874-1512

Mailing address

13909 Dairy Farm Dr
Boyds, MD 20841-4228
Phone (240) 476-7999

Other practice location 1

4701 Randolph Rd
Suite 208
Rockville, MD 20852-2257
Phone (240) 221-0020

Other identifiers 1

IdentifierTypeStateIssuer
140442OtherMDSTATE OF MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000254 DC Practitioner - Physical Therapist in Private Practice 1850458399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians

Practice addresses (Care Compare)

12321 Middlebrook Rd
Suite 101
Germantown, MD 20874-1512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140442MDMDPhysical Medicine & Rehabilitation Physician
21295MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. CurrentSince Apr 16, 2021 Accepting new patients
Manbir Takhar, P.C. CurrentSince Oct 1, 2014 Accepting new patients
Tru Health Group, PC Current Accepting new patients
Schrier Physical Therapy, Inc. Past Accepting new patients

Locations

12321 Middlebrook Rd
Ste 103
Germantown, MD 20874
Phone (310) 428-1070

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

Interoperability endpoints

  • Direct secure messaging: nishtha.sanghani.1@20907.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1861645491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 DAIRY FARM DR",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208414228",
            "telephone_number": "240-476-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12321 MIDDLEBROOK RD STE 103",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741512",
            "telephone_number": "310-428-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Randolph Rd",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522257",
            "country_code": "US",
            "telephone_number": "240-221-0020",
            "fax_number": "240-221-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGHANI",
        "first_name": "NISHTHA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "140442",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MD",
            "identifier": "140442",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.