NPIMap

Organization Active NPI

Therapy Associates, LLC

  • Pediatric Rehabilitation Medicine Physician
  • Suitland, MD
National Provider Identifier
1356759708
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
Legal business name
THERAPY ASSOCIATES, LLC
Practice address
5625 Allentown Rd Ste 200
Suitland, MD 20746-4521
Phone
(301) 241-0285
Fax
(866) 588-4662
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Mr. Winfield White, OTR/LNPI 1053430694
Title
President/ Owner
Phone
(301) 241-0285

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0010X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X W14819064 MD
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X W14819064 MD
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X W14819064 MD

Addresses

Primary practice location

5625 Allentown Rd Ste 200
Suitland, MD 20746-4521

Mailing address

1200 Strausberg St
Accokeek, MD 20607
Phone (301) 520-9376

Other identifiers 1

IdentifierTypeStateIssuer
9076299100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201015000511 DC Part B Supplier - Clinic/Group Practice 9931529864 Receives reassigned benefits from 5 practitioners
Practice locations: Suitland, MD

National Provider Directory

National Provider Directory

Locations

5625 Allentown Rd
Ste 200
Suitland, MD 20746
Phone (301) 241-0285

Practitioners & affiliated clinicians

Practitioners 6

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": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1356759708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STRAUSBERG ST",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "20607",
            "telephone_number": "301-520-9376",
            "fax_number": "866-588-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD STE 200",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-241-0285",
            "fax_number": "866-588-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "301-241-0285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "W14819064",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "W14819064",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "W14819064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9076299100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.