Prashanth Jayaprakash, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

132 Holiday CT
Ste 203
Annapolis, MD 21401-7005

Phone

(410) 573-9930

Fax

(410) 573-9932

NPI assigned

Aug 29, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1487093167
  Medicare reassignment Care Compare group NPD
• Kinetic Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1114978376

  Physical Therapist

  Medicare reassignment NPD
• Centers for Advanced Orthopaedics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hanover, MD
  • NPI 1760872709
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Chesapeake Orthopaedic & Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Hanover, MD
  • NPI 1598905333
  NPD (past)
• Chesapeake Orthopaedic and Sports Medicine Center PA

  • Orthopaedic Surgery Physician
  • Glen Burnie, MD
  • NPI 1407920143
  NPD (past)
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)
• Orthopaedic Associates of Central Maryland, PA

  • Orthopaedic Surgery Physician
  • Columbia, MD
  • NPI 1023269396
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1912016510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 SAINT MICHAELS CT",
            "address_2": "STE 203",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132615",
            "telephone_number": "443-838-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HOLIDAY CT",
            "address_2": "STE 203",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017005",
            "telephone_number": "410-573-9930",
            "fax_number": "410-573-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Crain Hwy S Ste 402",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616437",
            "country_code": "US",
            "telephone_number": "410-590-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYAPRAKASH",
        "first_name": "PRASHANTH",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "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": "21392",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prashanth.jayaprakash.1@6309.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1600 Crain Hwy S Ste 402",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210616437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Jarboe
• Amanda Lyn Jarman, PTA
• Donna L Jasper, DO
• Justin Ajay Jasti, MD
• Rabia Javed, MD/MBBS
• Jennifer Lynn Jefferson, PHARMD
• Maya Jefferson
• Adrienne Claire Jeffries, LCSW
• David Stuart Jencks
• Betsy Bolander Jenkins, LGPC

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.