Healthcare Provider's Profile
Full Name | |
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Type | Facility |
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Speciality | Clinic/center - Rehabilitation |
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Location | 1145 19th St Nw Ste 403, Washington, District Of Columbia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225634454
- Provider Enumeration Date: 12/11/2020
- Last Update Date: 01/11/2024
Medical Identifiers
Medical identifiers for
such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225634454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
6410 Rockledge Dr Ste 600, Bethesda, MD 20817-1844 Ph: () - | 1145 19th St Nw Ste 403, Washington, DC 20036-3716 Ph: (027) 217-6802 |
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