Active NPI
Jay M. Mutchnik, P.T.
- Physical Therapist
- Washington, DC
National Provider Identifier
1245346238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870265
- Practice address
- 5100 Wisconsin Ave NW
Suite 522
Washington, DC 20016-4119 - Phone
- (202) 966-0900
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870265 | DC | Primary |
Addresses
Primary practice location
5100 Wisconsin Ave NW
Suite 522
Washington, DC 20016-4119
Mailing address
20 New Plant CT
Owings Mills, MD 21117-3525
Phone (410) 654-8602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870265 | DC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245346238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 NEW PLANT CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173525",
"telephone_number": "410-654-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 WISCONSIN AVE NW",
"address_2": "SUITE 522",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164119",
"telephone_number": "202-966-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTCHNIK",
"first_name": "JAY",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870265",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.