NPIMap

Organization Active NPI

Capital Sport Injury Center, PC

  • Chiropractor
  • Silver Spring, MD
National Provider Identifier
1376972893
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01513 Issued in MD
Legal business name
CAPITAL SPORT INJURY CENTER, PC
Practice address
9200 Colesville Rd
Silver Spring, MD 20910-1656
Phone
(301) 585-3200
Fax
(301) 589-2394
NPI assigned
Nov 5, 2013
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Dr. Mohammad Yousefi, DCNPI 1083834832
Title
Doctor/Ower
Phone
(301) 585-3200

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S01513 MD Primary

Addresses

Primary practice location

9200 Colesville Rd
Silver Spring, MD 20910-1656

Mailing address

9200 Colesville Rd
Silver Spring, MD 20910-1656
Phone (301) 585-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001641 DC Part B Supplier - Clinic/Group Practice 6800015538 Receives reassigned benefits from 3 practitioners
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

12041 Bournefield Way
Ste C
Silver Spring, MD 20904
Phone (301) 622-9000

Practitioners & affiliated clinicians

Practitioners 4

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1376972893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 COLESVILLE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101656",
            "telephone_number": "301-585-3200",
            "fax_number": "301-589-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 COLESVILLE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101656",
            "telephone_number": "301-585-3200",
            "fax_number": "301-589-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL SPORT INJURY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DOCTOR/OWER",
        "authorized_official_telephone_number": "301-585-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 18, 2023; 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.