Phoenix Rising, Physical and Massage Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DC2774 Issued in DC

Legal business name

PHOENIX RISING, PHYSICAL AND MASSAGE THERAPY, LLC

Practice address

1050 17TH St NW
Suite 1000
Washington, DC 20036-5503

Phone

(202) 496-5305

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Karen D Durana

Title

Physical Therapist

Phone

(202) 496-5305

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1447435276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10756 HOLLAWAY DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 17TH ST NW",
            "address_2": "SUITE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365503",
            "telephone_number": "202-496-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING, PHYSICAL AND MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "DURANA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "202-496-5305"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "DC2774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K2760001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Philson
• Brittany Phipps, MFT
• Lorena Phipps
• Stephanie Bree Phipps
• Phoenix Physical Therapy
• Phoenix Therapeutic Services, Inc.
• Rhodaisha Phoenix
• Sukari Phoenix, DDS
• Vanessa Phoenix
• Yvonne Phoenix

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.