NPIMap

Organization Active NPI

Mosaddegh Physical Therapy

Doing business as Physical Therapy and Sports Medicine Center

  • Physical Therapist
  • Largo, MD
National Provider Identifier
1336362268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17824 Issued in MD
Legal business name
MOSADDEGH PHYSICAL THERAPY
Doing business as
Physical Therapy and Sports Medicine Center
Practice address
1100 Mercantile Lane
Suite 135
Largo, MD 20774
Phone
(301) 772-2202
Fax
(301) 772-3018
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sohaila Mosaddegh Mehjardi, PTNPI 1639212954
Title
President
Phone
(301) 446-1644

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 17824 MD Primary

Addresses

Primary practice location

1100 Mercantile Lane
Suite 135
Largo, MD 20774

Mailing address

7500 Hanover Parkway
Suite 103
Greenbelt, MD 20770
Phone (301) 446-1644

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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336362268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PARKWAY",
            "address_2": "SUITE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MERCANTILE LANE",
            "address_2": "SUITE 135",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-772-2202",
            "fax_number": "301-772-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSADDEGH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSADDEGH MEHJARDI",
        "authorized_official_first_name": "SOHAILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-446-1644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy and Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.