Individual provider Active NPI

Nidhi Sanghavi

  • Physical Therapist
  • Glenn Dale, MD
National Provider Identifier
1942679634
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211939 Issued in VA
Practice address
12150 Annapolis Rd Ste 204
Glenn Dale, MD 20769-9183
Phone
(301) 352-8370
Fax
(301) 352-8372
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211939 VA Primary

Addresses

Primary practice location

12150 Annapolis Rd Ste 204
Glenn Dale, MD 20769-9183

Mailing address

13920 Castle Blvd Apt 405
Silver Spring, MD 20904-4959
Phone (857) 272-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190920001815 VA Practitioner - Physical Therapist in Private Practice 7719217512 Reassigns benefits to 3 organizations
I20200423001084 DC Practitioner - Physical Therapist in Private Practice 7719217512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Rehab VA PLLCGroup PAC ID 1951841758, 9 clinicians

Practice addresses (Care Compare)

2807 N Parham Rd
Suite 320
Henrico, VA 23294-4458
Phone (855) 678-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25703MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
05011819AINMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Physical Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1942679634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 CASTLE BLVD APT 405",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044959",
            "telephone_number": "857-272-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 204",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-352-8370",
            "fax_number": "301-352-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHAVI",
        "first_name": "NIDHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.