Active NPI
Oncology and Pelvic Health Physical Therapy PLLC
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1245979962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ONCOLOGY AND PELVIC HEALTH PHYSICAL THERAPY PLLC
- Practice address
- 4401 E West Hwy Ste 202
Bethesda, MD 20814-4541 - Phone
- (202) 987-3411
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lora Shannon John, DPT
- Title
- Provider/Owner
- Phone
- (202) 987-3411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4401 E West Hwy Ste 202
Bethesda, MD 20814-4541
Mailing address
4401 E West Hwy Ste 303
Bethesda, MD 20814-4523
Phone (202) 987-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4401 East West Hwy
Ste 202
Bethesda, MD 20814
Phone (202) 987-3411
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1245979962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 E WEST HWY STE 303",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144523",
"telephone_number": "202-987-3411",
"fax_number": "202-998-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 E WEST HWY STE 202",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144541",
"telephone_number": "202-987-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONCOLOGY AND PELVIC HEALTH PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "LORA",
"authorized_official_middle_name": "SHANNON",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "202-987-3411",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.