Active NPI
Neha Udeshi
- Physical Therapist
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212585
- Practice address
- 14014 Marsh Pike
Hagerstown, MD 21742-1638 - Phone
- (301) 733-8700
- NPI assigned
- Nov 16, 2016
- Last updated
- Jan 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26195 | MD | |
| Physical Therapist | 225100000X | 2305212585 | VA | Primary |
Addresses
Primary practice location
14014 Marsh Pike
Hagerstown, MD 21742-1638
Mailing address
4922 Lasalle Rd
Hyattsville, MD 20782-3302
Phone (301) 864-2333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4374045 | Medicaid | MD | |
| 1447657507 | Other | MD | NPI TYPE2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4612 Kenmore Ave
Alexandria, VA 22304-1301
Phone (703) 370-1410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26195 | MD | MD | Pharmacist |
| 2305212585 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Work Rehab Center, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4612 Kenmore Ave
Alexandria, VA 22304
Phone (703) 370-1410
3998 Fair Ridge Dr
Ste 100B
Fairfax, VA 22033
Phone (703) 934-0333
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba APT Virginia, LLC
- Physical Therapist
- Glen Allen, VA
- NPI 1548676307
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1952843336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 LASALLE RD",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823302",
"telephone_number": "301-864-2333",
"fax_number": "877-828-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14014 MARSH PIKE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421638",
"telephone_number": "301-733-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDESHI",
"first_name": "NEHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26195",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4374045",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE2",
"identifier": "1447657507",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.