Healthcare Provider Details

I. General information

NPI: 1891506598
Provider Name (Legal Business Name): NEERAJ SHRESTHA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18109 PRINCE PHILIP DR STE 155
OLNEY MD
20832-1591
US

IV. Provider business mailing address

1422 MEADOWSWEET DR
SANDY SPRING MD
20860-1042
US

V. Phone/Fax

Practice location:
  • Phone: 240-536-7833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberT20218
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: