J.a.W. Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

J.A.W. THERAPY LLC

Practice address

714 55TH St NE
Washington, DC 20019-6712

Phone

(832) 818-2751

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Rayan Hagona-Wordie, PT

Title

Ceo

Phone

(832) 818-2751

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1215543046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 55TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196712",
            "telephone_number": "832-818-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 55TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196712",
            "telephone_number": "832-818-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.W. THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "HAGONA-WORDIE",
        "authorized_official_first_name": "RAYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-818-2751",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "871597",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jawtherapy@hipaamail.net",
            "affiliation": "N",
            "endpointDescription": "HIPAA-compliant email",
            "address_1": "714 55th St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200196712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Clinic/Center in District of Columbia

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