Active NPI
Tami Lynn Radov, PT, DPT
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1003386897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17683
- Practice address
- 22 Jaystone CT
Silver Spring, MD 20905-5882 - Phone
- (301) 646-9026
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17683 | MD | Primary |
Addresses
Primary practice location
22 Jaystone CT
Silver Spring, MD 20905-5882
Mailing address
22 Jaystone CT
Silver Spring, MD 20905-5882
Phone (301) 646-9026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17683 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1003386897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 JAYSTONE CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055882",
"telephone_number": "301-646-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 JAYSTONE CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055882",
"telephone_number": "301-646-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADOV",
"first_name": "TAMI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.