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PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC NPI 1538282827


NPI Information

NPI: 1538282827
Provider Name: PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC

Doing Business As: WHITE OAK PHYSICAL THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
11120 NEW HAMPSHIRE AVE
SUITE 200
SILVER SPRING, MD
ZIP 20904
Phone: (301) 592-8200
Get Directions

PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC is a rehabilitation clinic center in Silver Spring, MD. PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC NPI is 1538282827. The provider is registered as an organization entity type.
The provider Is Doing Business As White Oak Physical Therapy.

The provider's business location address is:

11120 NEW HAMPSHIRE AVE
SUITE 200
SILVER SPRING, MD
ZIP 20904-633
Phone: (301) 592-8200
Fax: (301) 592-8300

The provider's authorized official is David Michael Bullock .
The authorized official title is Founder and has the following contact phone number (301) 592-8200.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 1/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationPT870409DISTRICT OF COLUMBIANo
2261QR0400XClinic/CenterRehabilitation870427DISTRICT OF COLUMBIANo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
5261QR0400XClinic/CenterRehabilitation21045MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1413765500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.