J Sadie Physical Therapy and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

J SADIE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

6702 Gude Ave
Takoma Park, MD 20912-4827

Phone

(301) 367-9769

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Jacques Sadie, PTNPI 1144651480

Title

Owner

Phone

(301) 367-9769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacques Sadie

  • Physical Therapist
  • Takoma Park, MD
  • NPI 1144651480

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1336810795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 GUDE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 GUDE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124827",
            "telephone_number": "301-367-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SADIE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "SADIE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-367-9769",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.