Individual provider Active NPI

Jacques Sadie

  • Physical Therapist
  • Takoma Park, MD
National Provider Identifier
1144651480
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24803 Issued in MD
Practice address
6702 Gude Ave
Takoma Park, MD 20912-4827
Phone
(301) 367-9769
NPI assigned
Dec 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24803 MD Primary

Addresses

Primary practice location

6702 Gude Ave
Takoma Park, MD 20912-4827

Mailing address

6702 Gude Ave
Takoma Park, MD 20912-4827
Phone (301) 367-9769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304000579 MD Practitioner - Physical Therapist in Private Practice 4284864646 Reassigns benefits to 1 organization
I20211122000153 DC Practitioner - Physical Therapist in Private Practice 4284864646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

6702 Gude Ave
Takoma Park, MD 20912-4827
Phone (301) 367-9769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24803MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J Sadie Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Oct 5, 2021 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Homecare Rehab, LLC Physical Therapist Past Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1144651480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 GUDE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124827",
            "telephone_number": "301-367-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 GUDE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124827",
            "telephone_number": "301-367-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIE",
        "first_name": "JACQUES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.

Verify at the official NPI Registry.