Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mansi Chavan

Individual provider Physical Therapist · NPI 1114776432

Mansi Chavan is a Physical Therapist in Private Practice in Waldorf, Maryland. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Services LLC, a 307-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2024
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Practice location Address checks out

11665 Doolittle Dr
Waldorf, MD 20602-2898
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 29915 (MD)

Record details

NPI number1114776432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fox Rehabilitation Services Llc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waldorf