MEDICARE: ANJALI R GHODAKE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	27395	MD

General Provider Information

NPI Number	:	1023677200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANJALI R GHODAKE DPT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:	866-370-8206
Fax Number	:	517-435-3670

Provider Business Practice Location Address
First Line	:	2441 N HARRISON ST STE 2443
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1611
Country	:	US
Telephone Number	:	571-533-3686
Fax Number	:	571-534-4800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	01/09/2024

Similar Medicare Providers

1558653667 — SARAH ELISA VENEZIAN PHARMD
Practice Location Address:

2425 N HARRISON ST
ARLINGTON, VA
22207-1611

Practice Phone: 703-532-8755
Practice Fax: 703-532-8548

1720370513 — DR. SERKALEM ADMASU PHARM D
Practice Location Address:

2425 N HARRISON ST
ARLINGTON, VA
22207-1611

Practice Phone: 703-532-8755
Practice Fax:

1255867081 — EMILY BALKO
Practice Location Address:

2439 N HARRISON ST
ARLINGTON, VA
22207-1611

Practice Phone: 571-395-9912
Practice Fax:

1447888292 — VIKAS JAIN
Practice Location Address:

2425 N HARRISON ST
ARLINGTON, VA
22207-1611

Practice Phone: 703-532-8755
Practice Fax:

1043803307 — PAIGE PALLI
Practice Location Address:

2441 N HARRISON ST STE 2443
ARLINGTON, VA
22207-1611

Practice Phone: 571-533-3686
Practice Fax: 571-534-4800

1942956263 — EVANGELINE DE LEON PT, DPT
Practice Location Address:

2441 N HARRISON ST STE 2443
ARLINGTON, VA
22207-1611

Practice Phone: 571-533-3686
Practice Fax: 571-534-4800

Directions to “ ANJALI R GHODAKE DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.