Capital Sport Injury Center, PC
Organization Active NPI Chiropractor · Silver Spring, MD
NPI 1376972893 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1376972893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- S01513 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Mohammad Yousefi, DC
- Title
- Doctor/Ower
- Phone
- (301) 585-3200
Practitioners 4
-
Mohammad Yousefi, D.C.
-
Meimanat B Yousefi, D.C.
-
Morvarid Yousefi, M.D.
-
Wayne Peter Bullen, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140911001641 | DC | Part B Supplier - Clinic/Group Practice | 6800015538 |
Receives reassigned benefits from 3 practitioners Practice locations: Silver Spring, MD |
National Provider Directory
Locations
12041 Bournefield Way
Ste C
Silver Spring, MD 20904
Phone (301) 622-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | S01513 | MD | Yes |
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
Other providers in Silver Spring, MD
- Capital Institute of Hearing & Balance LLC
- Capital Internal Medicine
- Capital Internal Medicine,LLC
- Capital Kids Dentistry and Orthodontics
- Capital Pain Management & Rehab Centers, LLC
- Capital Sports Medicine LLC
- Capital Women'S Care, L.L.C.
- Capital Women'S Care, L.L.C.
- Capital Women'S Care, L.L.C.
- Capital Women'S Care, L.L.C.
All providers in Silver Spring, MD · Chiropractor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.