MISS MARYA RAHAMTALLA ELASHA (PT, DPT) – Physical Therapist, NPI 1417799628

MISS MARYA RAHAMTALLA ELASHA (PT, DPT) is a healthcare provider. based in Fredericksburg, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. CP051638T (SC). The NPI Number for MISS MARYA RAHAMTALLA ELASHA (PT, DPT) is 1417799628

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MISS MARYA RAHAMTALLA ELASHA (PT, DPT)
NPI
1417799628
Phone
(540) 315-8249
Address
10504 Wakeman Dr
Enumeration Date
10 June 2024
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5712919936
Graduation Year
2024 (2 years ago)
PAC ID
2961941091
Group Practice PAC ID
9830337963
Professional Enrollment ID
I20240903002402
Address ID
VA201474292AS44927BLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:2State licenses:3Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MISS MARYA RAHAMTALLA ELASHA (PT, DPT)

  • 10504 Wakeman Dr

    Fredericksburg, VA 224078040

    Phone: (540) 315-8249

    Fax: (540) 891-6316

    Type: Location

  • 44927 George Washington Blvd Ste 210

    Ashburn, VA 201474292

    Phone: (571) 291-9936

    Type: Location

  • 107A AARON TIPPIN DR

    GREER, SC 296501217

    Phone: (864) 652-5577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240903002402IPhysical Therapist In Private PracticeVATBD
I20260217000165IPhysical Therapist In Private PracticeSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830337963View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
-VA
-VA
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MISS MARYA RAHAMTALLA ELASHA (PT, DPT)?
MISS MARYA RAHAMTALLA ELASHA (PT, DPT) — NPI 1417799628 — is the standard way to identify this listing.
Does CMS list MISS MARYA RAHAMTALLA ELASHA (PT, DPT) as active?
Yes — MISS MARYA RAHAMTALLA ELASHA (PT, DPT) is active in the NPI listing used on this page.
What is MISS MARYA RAHAMTALLA ELASHA (PT, DPT)'s specialty?
The listing groups MISS MARYA RAHAMTALLA ELASHA (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MISS MARYA RAHAMTALLA ELASHA (PT, DPT) serve?
MISS MARYA RAHAMTALLA ELASHA (PT, DPT)'s listing highlights Fredericksburg, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.