Active NPI
Courtland Wyatt, P.T.
- Physical Therapist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2863
- Practice address
- 3700 N Capitol St NW
Washington, DC 20011-8400 - Phone
- (800) 422-9988
- Fax
- (301) 262-1259
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT2863 | DC | Primary |
Addresses
Primary practice location
3700 N Capitol St NW
Washington, DC 20011-8400
Mailing address
6196 Oxon Hill Rd
Ste 120
Oxon Hill, MD 20745-3138
Phone (301) 567-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6130 Oxon Hill Rd
Suite 102
Oxon Hill, MD 20745-3166
Phone (301) 882-8511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19708 | MD | MD | Clinical Social Worker |
| PT2863 | DC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Continuing Education Solutions | Physical Therapist | Current | Accepting new patients |
| American Continuing Education Solutions | Current | Accepting new patients | |
| Ergo Home Health | Physical Therapist | Current | Accepting new patients |
Locations
1250 Connecticut Ave NW
Ste 700
Washington, DC 20036
Phone (202) 261-6598
9001 Woodyard Rd
Ste D
Clinton, MD 20735
Phone (240) 244-2012
6130 Oxon Hill Rd
Ste 102
Oxon Hill, MD 20745
Phone (240) 604-8757
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Oxon Hill, MD
- NPI 1497349351
DC, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Clinton, MD
- NPI 1083485429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1003846676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD",
"address_2": "STE 120",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453138",
"telephone_number": "301-567-6400",
"fax_number": "202-318-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N CAPITOL ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200118400",
"telephone_number": "800-422-9988",
"fax_number": "301-262-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "COURTLAND",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.