Holistic Acupuncture and Physical Therapy Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HOLISTIC ACUPUNCTURE AND PHYSICAL THERAPY CENTER, LLC

Practice address

957 Russell Ave
Suite B
Gaithersburg, MD 20879-6215

Phone

(301) 987-0596

Fax

(301) 987-0398

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Sophie X Deng, P.T., L.AC.NPI 1285719815

Title

Owner

Phone

(301) 987-0596

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Sophie X Deng

  • Physical Therapist
  • Gaithersburg, MD
  • NPI 1285719815

  Acupuncturist, DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1417032103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 RUSSELL AVE",
            "address_2": "SUITE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796215",
            "telephone_number": "301-987-0596",
            "fax_number": "301-987-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 RUSSELL AVE",
            "address_2": "SUITE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796215",
            "telephone_number": "301-987-0596",
            "fax_number": "301-987-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC ACUPUNCTURE AND PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-987-0596",
        "authorized_official_credential": "P.T., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410117100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Paul Hixson, L.C.S.W.-C
• Michael Van Ho, PHARMD
• Kristen Hoang, PHARMD
• Maria-Isabel Hodgkins, SLP
• Sean Everett Hofherr, PH.D.
• Holistic Health and Beauty
• Holistic Therapy Services LLC
• Jasmine Lynn Holland
• Michele W. Hollander, PSY.D.
• Hollier Eyecare, LLC

• Physical Therapist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.