Organization Active NPI

Oncology and Pelvic Health Physical Therapy PLLC

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1245979962
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on May 8, 2023

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

Authorized official

Name
Lora Shannon John, DPTNPI 1609541028
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220831001518 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002290608 Receives reassigned benefits from 2 practitioners
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.