NPIMap

Organization Active NPI

Center for Transformative Care

  • Clinic/Center
  • Rockville, MD
National Provider Identifier
1073161253
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTER FOR TRANSFORMATIVE CARE
Practice address
11140 Rockville Pike, #303
Rockville, MD 20852
Phone
(301) 347-6518
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jan Dommerholt, PT, DPTNPI 1841335007
Title
Director
Phone
(301) 656-5613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

11140 Rockville Pike, #303
Rockville, MD 20852

Mailing address

4405 E West Hwy Ste 403
Bethesda, MD 20814-4535
Phone (301) 656-5613

National Provider Directory

National Provider Directory

Locations

4405 East West Hwy
Ste 403
Bethesda, MD 20814

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1073161253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY STE 403",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144535",
            "telephone_number": "301-656-5613",
            "fax_number": "301-656-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE, #303",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-347-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TRANSFORMATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "DOMMERHOLT",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-656-5613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.