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

Mitali Shastri

Individual provider Physical Therapist · NPI 1164934469

Mitali Shastri is a Physical Therapist in Private Practice in Rockville, Maryland. Qualified in 2013, 13 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
13
Licensed in
MD
In the registry since
2017
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Practice location Address checks out

8 Baltimore Rd
Rockville, MD 20850-4604
Phone: (516) 455-6586
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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 26733 (MD)

Record details

NPI number1164934469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2017
Last updated in NPPESOctober 26, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockville