NPIMap

Organization Active NPI

Early Intervention Associates, LLC

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1447377288
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15297 Issued in MD
Legal business name
EARLY INTERVENTION ASSOCIATES, LLC
Practice address
3204 Tower Oaks Blvd.
Suite 150
Rockville, MD 20852
Phone
(301) 468-9343
Fax
(301) 230-2127
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Tristann DB Lee, PT DPTNPI 1659885309
Title
Director/Owner
Phone
(301) 468-9343

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 15297 MD Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd.
Suite 150
Rockville, MD 20852

Mailing address

3204 Tower Oaks Blvd
Suite 150
Rockville, MD 20852
Phone (301) 468-9343

Other names 1

  • Early Intervention Associates Other name

National Provider Directory

National Provider Directory

Locations

3204 Tower Oaks Blvd
Ste 150
Rockville, MD 20852
Phone (301) 468-9343

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1447377288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD",
            "address_2": "SUITE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-468-9343",
            "fax_number": "301-230-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD.",
            "address_2": "SUITE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-468-9343",
            "fax_number": "301-230-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TRISTANN",
        "authorized_official_middle_name": "DB",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "301-468-9343",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Intervention Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Early Intervention Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.