Individual provider Active NPI

Sizhu Wang, DPT

  • Physical Therapist
  • Gaithersburg, MD
National Provider Identifier
1366827966
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25428 Issued in MD
Practice address
700 Professional Dr
Gaithersburg, MD 20879-3418
Phone
(240) 447-6523
Fax
(301) 540-0127
NPI assigned
Jul 23, 2015
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25428 MD Primary

Addresses

Primary practice location

700 Professional Dr
Gaithersburg, MD 20879-3418

Mailing address

700 Professional Dr
Gaithersburg, MD 20879-3418
Phone (240) 447-6523

Other identifiers 1

IdentifierTypeStateIssuer
25428OtherMDMARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103001159 DC Practitioner - Physical Therapist in Private Practice 6002124674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 Professional Dr
Gaithersburg, MD 20879-3418
Phone (240) 447-6523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25428MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Worldshine International LLC CurrentSince Sep 23, 2024 Accepting new patients
Synergy Rehab Center LLC CurrentSince Aug 26, 2015 Accepting new patients

Locations

700 Professional Dr
Gaithersburg, MD 20879
Phone (240) 447-6523

20420 Century Blvd
Germantown, MD 20874
Phone (240) 447-6523

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1366827966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PROFESSIONAL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793418",
            "telephone_number": "240-447-6523",
            "fax_number": "301-540-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROFESSIONAL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793418",
            "telephone_number": "240-447-6523",
            "fax_number": "301-540-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SIZHU",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "25428",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.