Poolesville Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

15401 Issued in MD

Legal business name

POOLESVILLE PHYSICAL THERAPY

Practice address

19628 Fisher Ave
Poolesville, MD 20837-2065

Phone

(301) 349-5443

Fax

(301) 349-2074

NPI assigned

Feb 20, 2007

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Kapsiak Hess, PTNPI 1093858441

Title

Owner

Phone

(301) 349-5443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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.

• Patricia Kapsiak Hess, P.T.

  • Physical Therapist
  • Poolesville, MD
  • NPI 1093858441

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1396880100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19628 FISHER AVE",
            "city": "POOLESVILLE",
            "state": "MD",
            "postal_code": "208372065",
            "telephone_number": "301-349-5443",
            "fax_number": "301-349-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19628 FISHER AVE",
            "city": "POOLESVILLE",
            "state": "MD",
            "postal_code": "208372065",
            "telephone_number": "301-349-5443",
            "fax_number": "301-349-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLESVILLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KAPSIAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-349-5443",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "15401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Mevissen, OD
• Nurturing Minds Healthcare Services LLC
• Sarah Merie Paksima, MPH, MBA, CD (DONA)
• Emily E Pavlick, LCSW-C
• Poolesville Family Practice LLC
• Poolesville Vision and Contact Lens Service (Poolesville Vision Service)
• Possible Rays Wellness, LLC
• Emma Ridgway, M.S.W.
• Danielle Marie Roche, LCSW-C
• Erica Salpino

• Physical Therapy Clinic/Center in Poolesville, MD
• Providers in Poolesville, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.