Provider Demographics
NPI:1801459953
Name:GHORPADE, NAMITA JAISINGH (PT)
Entity type:Individual
Prefix:
First Name:NAMITA JAISINGH
Middle Name:
Last Name:GHORPADE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 HURLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3118
Mailing Address - Country:US
Mailing Address - Phone:301-762-8900
Mailing Address - Fax:
Practice Address - Street 1:299 HURLEY AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3118
Practice Address - Country:US
Practice Address - Phone:301-762-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist