KETKI AJIT RAKTAVAN (NPI# 1992303820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992303820 |
Entity Type | Individual |
Full Name | KETKI AJIT RAKTAVAN |
Credential | MPT |
Practice Address |
12200 Annapolis Rd Ste 119 Glenn Dale MD 20769-9182 |
Practice Telephone | 3018058005 |
Practice Fax Number | 3018055004 |
Mailing Telephone | 3018055006 |
Mailing Fax Number | 3018055004 |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
27954 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
12200 ANNAPOLIS RD STE 119 |
City | GLENN DALE |
State | MD |
Zip Code | 20769-9182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932613106 | Ketaki Jairaj Jatar | Physical Therapist | 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | 2017-11-27 |
1962974105 | Krystle Robinson | Physical Therapist | 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | 2018-12-28 |
1104330208 | Rachael Omole | Physical Therapist | 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | 2017-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023585676 | Ifeoma C Onyeiwu | Nurse Practitioner | Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 | 2018-10-31 |
1124593983 | Olivia Kaindaneh | Technician | 10809 Glandshire Dr, Glandale, MD 20769 | 2018-10-09 |
1154810505 | Cassie Leghu | Home Health Aide | 5108 Janesdale Court, Glenn Dale, MD 20769 | 2018-05-01 |
1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
1881957934 | Angela Teresa Dudley Hamilton | Counselor | 11415 Old Pond Drive, Glenn Dale, MD 20769 | 2012-06-22 |
1144597923 | Jaj Health Care Services,llc | Clinical Nurse Specialist | 12150 Annapolis Rd # 205, Glenndale, MD 20769 | 2011-11-22 |
1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
1972731867 | Linh Nguyen | Pharmacist | 10831 Lanham Severn Rd, Glenn Dale, MD 20769 | 2009-06-30 |
1417141557 | Sharon Evette Hawks | Nutritionist | 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 | 2007-08-31 |
1871715441 | Beth S Warner | Psychologist | 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 | 2007-05-03 |
Find all providers in zip 20769 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942679634 | Nidhi Sanghavi | Physical Therapist | 12150 Annapolis Rd Ste 204, Glenn Dale, MD 20769-9183 | 2015-09-23 |
1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
1962974105 | Krystle Robinson | Physical Therapist | 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | 2018-12-28 |
1891042578 | Sherri Crable | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2012-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528665262 | Ah Concierge Physical Therapy LLC | Physical Therapist | 5889 Solomons Island Road #626, Tracys Landing, MD 20779 | 2020-10-06 |
1417417163 | Elite Performance Institute LLC | Physical Therapist | 19719 Leitersburg Pike, Hagerstown, MD 21742-1443 | 2019-03-20 |
1942767439 | Lara Anderson | Physical Therapist | 23000 Moakley St Ste 101, Leonardtown, MD 20650-2916 | 2019-02-21 |
1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
1427532126 | Taylor Physical Therapy, P.C. | Physical Therapist | 2419 Whiteford Rd Ste A, Whiteford, MD 21160-1218 | 2018-09-18 |
1316438070 | Dylan Marks | Physical Therapist | 5024 Dorsey Hall Dr Ste 103, Ellicott City, MD 21042-7869 | 2018-05-29 |
1225529829 | Inspire Movement Physical Therapy, LLC | Physical Therapist | 3301 Ridge Rd, Westminster, MD 21157-7443 | 2018-05-21 |
1619480258 | Knicley Se, LLC | Physical Therapist | 3540 Sugarloaf Pkwy Ste D03, Frederick, MD 21704-7901 | 2017-11-06 |
1033620539 | Adam Fuehrer | Physical Therapist | 2 W Rolling Xrds, Catonsville, MD 21228-6208 | 2017-10-24 |
1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
Find all providers with the same taxonomy |
City | GLENN DALE |
Zip Code | 20769 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.