Active NPI
Nidhi Harsh Mehta
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1912620980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215404
- Practice address
- 4660 Kenmore Ave Ste 400
Alexandria, VA 22304-1306 - Phone
- (301) 624-9633
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- 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 | 2305215404 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave Ste 400
Alexandria, VA 22304-1306
Mailing address
11109 Cavalier CT
Apt 7M
Fairfax, VA 22030
Phone (301) 624-9633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724001804 | DC | Practitioner - Physical Therapist in Private Practice | 2860852787 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305215404 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Work Rehab Center, LLC | Physical Therapist | Current | Accepting new patients |
| Town Center Orthopaedic Associates, P.C. | Physical Therapist | Current | Accepting new patients |
| Town Center Orthopaedic Associates PC | Current | Accepting new patients |
Locations
3998 Fair Ridge Dr
Ste 100B
Fairfax, VA 22033
Phone (703) 934-0333
11166 Fairfax Blvd
Ste 105
Fairfax, VA 22030
Phone (703) 277-3360
1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684
Organizations & group practices 3
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.
-
- Physical Therapist
- Glen Allen, VA
- NPI 1548676307
DC, Physical Therapist
-
- Orthopaedic Surgery Physician
- Reston, VA
- NPI 1487755955
DC, Physical Therapist
-
- Orthopaedic Surgery Physician
- Centreville, VA
- NPI 1407555253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1912620980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 CAVALIER CT",
"address_2": "APT 7M",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "301-624-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 400",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "301-624-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "NIDHI",
"middle_name": "HARSH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.