NPIMap

Organization Active NPI

Mosaddegh Physical Therapy Inc.

Doing business as Physical Therapy and Sports Medicine Center

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1316588767
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOSADDEGH PHYSICAL THERAPY INC.
Doing business as
Physical Therapy and Sports Medicine Center
Practice address
9801 Georgia Ave Ste 339
Silver Spring, MD 20902-5276
Phone
(301) 778-8800
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Sasan Chalezamini
Title
Coo
Phone
(240) 774-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9801 Georgia Ave Ste 339
Silver Spring, MD 20902-5276

Mailing address

17902 Georgia Ave Ste 220
Olney, MD 20832-2279
Phone (240) 774-0222

Other names 1

  • PHYSICAL THERAPY AND SPORTS MEDICINE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Sports Me9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1316588767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 220",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322279",
            "telephone_number": "240-774-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE STE 339",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-778-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSADDEGH PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "CHALEZAMINI",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-774-0222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY AND SPORTS MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.