Organization Active NPI

DC Pain & Rehab Center, Inc.

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1205972551
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870581 Issued in DC
Legal business name
DC PAIN & REHAB CENTER, INC.
Practice address
2401 Martin Luther King Jr Ave SE Ste 106
Washington, DC 20020-5815
Phone
(202) 834-2530
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chang G. Yoon
Title
President
Phone
(202) 834-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870581 DC Primary

Addresses

Primary practice location

2401 Martin Luther King Jr Ave SE Ste 106
Washington, DC 20020-5815

Mailing address

2401 Martin Luther King Jr Ave SE Ste 106
Washington, DC 20020-5815
Phone (202) 834-2530

National Provider Directory

National Provider Directory

Locations

2401 Martin Luther King Jr Ave SE
Ste 106
Washington, DC 20020
Phone (202) 834-2530

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205972551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MARTIN LUTHER KING JR AVE SE STE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205815",
            "telephone_number": "202-834-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MARTIN LUTHER KING JR AVE SE STE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205815",
            "telephone_number": "202-834-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC PAIN & REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-834-2530"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870581",
            "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 Aug 22, 2020; 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.