Teodros Hailu, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20335 Issued in MD

Practice address

26 Hunters Gate CT
Silver Spring, MD 20904-1827

Phone

(240) 393-6455

NPI assigned

Dec 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Accord Physiotherapy LLC

  • Physical Therapy Clinic/Center
  • Silver Spring, MD
  • NPI 1639989338
  NPD Authorized official
• Sports Physical Therapy of Towson, P.a.

  • Physical Therapist
  • Towson, MD
  • NPI 1770650392

  Orthopedic

  NPD (past)
• Virginia Home Therapy LLC

  • Physical Therapy Clinic/Center
  • Manassas, VA
  • NPI 1942802772

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1073759221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HUNTERS GATE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041827",
            "telephone_number": "240-393-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HUNTERS GATE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041827",
            "telephone_number": "240-393-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILU",
        "first_name": "TEODROS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20335",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moulaye Youssouf Haidara
• Mekuria Haile, PHARM D
• Tesfaye T Hailegnaw
• Kalekirstos Hailemariam
• Selamawit Hailu, PHARM.D.
• Wondwossen Hailu
• Shahin Hajbarat, PT, DPT
• Fatuma Abdala Haji
• Shaluwa Halabi
• Amira Haleem

• Physical Therapy Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.