Healthcare Provider Details

I. General information

NPI: 1538003793
Provider Name (Legal Business Name): SAAKSHI ASHISH VAIDYA PT, DPT,MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD STE 450
OXON HILL MD
20745-3173
US

IV. Provider business mailing address

260 S REYNOLDS ST APT 202
ALEXANDRIA VA
22304-4428
US

V. Phone/Fax

Practice location:
  • Phone: 301-839-0400
  • Fax:
Mailing address:
  • Phone: 909-893-9578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number5813
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: