KETKI AJIT RAKTAVAN


Address: 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182
Phone: 3018058005

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 12200 ANNAPOLIS RD STE 119
City GLENN DALE
State MD
Zip Code 20769-9182

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City GLENN DALE
Zip Code 20769

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Dataset Information

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.

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