Organization Active NPI

Sang's Spine and Rehab Center, Inc

  • Physical Therapy Clinic/Center
  • Columbia, MD
National Provider Identifier
1104212851
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SANG'S SPINE AND REHAB CENTER, INC
Practice address
9192 Red Branch Rd Ste 200
Columbia, MD 21045-2082
Phone
(410) 418-9000
Fax
(443) 914-2377
NPI assigned
Apr 9, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Sangwon Jung
Title
Chiropractor D.C.
Phone
(703) 505-0105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9192 Red Branch Rd Ste 200
Columbia, MD 21045-2082

Mailing address

9020 Old Georgetown Rd
Bethesda, MD 20814-1514
Phone (703) 505-0105

National Provider Directory

National Provider Directory

Locations

9192 Red Branch Rd
Ste 200
Columbia, MD 21045
Phone (410) 418-9000

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": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1104212851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141514",
            "telephone_number": "703-505-0105",
            "fax_number": "240-223-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 RED BRANCH RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452082",
            "telephone_number": "410-418-9000",
            "fax_number": "443-914-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG'S SPINE AND REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SANGWON",
        "authorized_official_title_or_position": "CHIROPRACTOR D.C.",
        "authorized_official_telephone_number": "703-505-0105"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.