Provider Demographics
NPI:1356441117
Name:MEHTA, AASHIMA (MPT, DPT)
Entity Type:Individual
Prefix:DR
First Name:AASHIMA
Middle Name:
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11416 BRANDY HALL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2530
Mailing Address - Country:US
Mailing Address - Phone:678-592-4346
Mailing Address - Fax:
Practice Address - Street 1:8300 BURDETTE RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2801
Practice Address - Country:US
Practice Address - Phone:770-474-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPT236592251G0304X
GAPT0073402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT007340OtherPHYSICAL THERAPY LICENSCE
GAQ50399Medicare UPIN
GA65BBDDHMedicare ID - Type Unspecified