Poolatsya Girishbhai Maliwad, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207804 Issued in VA

Practice address

22960 Shaw Rd
Suite 605
Sterling, VA 20166-9447

Phone

(410) 750-9006

NPI assigned

Nov 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cambridge Healthcare

  • Skilled Nursing Facility
  • Sterling, VA
  • NPI 1275945024
  NPD (past)
• Cambridge Healthcare

  • Physical Therapy Clinic/Center
  • Sterling, VA
  • NPI 1609291681
  NPD (past)

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

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1871924985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 HONEYWOOD LN",
            "address_2": "APT-G",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188871",
            "telephone_number": "551-580-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22960 SHAW RD",
            "address_2": "SUITE 605",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201669447",
            "telephone_number": "410-750-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIWAD",
        "first_name": "POOLATSYA",
        "middle_name": "GIRISHBHAI",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-29",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahgoub DDS PLLC
• Anisah Mahmood
• Angel Maillet
• Wilmer Maldonado
• Sabina Malhotra, D.P.M.
• Corey Jason Malnikof, DC
• Vivian K Malnikof, DC
• Dattathri B Malyavantham, DDS
• Lisa Pascarella Mangano, OTR/L
• Mary Grasmeder Mangus

• Physical Therapist in Sterling, VA
• Providers in Sterling, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; 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.