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KETKI AJIT RAKTAVAN MPT
NPI 1992303820
Physical Therapist - Orthopedic in Glenn Dale, MD

Active since October 13, 2020Accepts Medicare Assignment
95.55/100
CMS Quality Rating
12200 ANNAPOLIS RD STE 119, GLENN DALE, MD 20769(301) 805-8005(301) 805-5004 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Oct 13, 2020 (2 updates tracked since 2020).

About Ketki Ajit Raktavan Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETKI AJIT RAKTAVAN MPT (NPI 1992303820) is an individual orthopedic provider in Glenn Dale, Maryland, licensed in Maryland (27954) and active in the NPI registry since October 2020. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1992303820
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKETKI AJIT RAKTAVANCredential: MPT
Location Address12200 ANNAPOLIS RD STE 119Glenn Dale, MD 20769-9182
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909
Phone(301) 805-8005
Fax(301) 805-5004
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 13, 2020
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1992303820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MD · 27954
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
12200 ANNAPOLIS RD STE 119, Glenn Dale, MD 20769
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ketki Ajit Raktavan Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668892944
PECOS Enrollment IDI20210927000126

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
2,187 services133 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,144 services115 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
983 services124 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
284 services61 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
80 services71 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.76
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL OMOLE
Physical Therapist
12200 ANNAPOLIS RD STE 119
GLENN DALE, MD 20769
Prince George's County (301) 805-5006
KRYSTLE ROBINSON PT, DPT
Physical Therapist (Orthopedic)
12200 ANNAPOLIS RD STE 119
GLENN DALE, MD 20769
Prince George's County (301) 805-5006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketki Raktavan's NPI number?

The NPI number for Ketki Raktavan is 1992303820. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Ketki Raktavan located?

Ketki Raktavan practices at 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769. The listed phone number is (301) 805-8005.

What is Ketki Raktavan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Ketki Raktavan enrolled in Medicare?

Yes. Ketki Raktavan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ketki Raktavan was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.