NPIMap

Organization Active NPI

Physical Therapy and Pain Management Center LLC

  • Hand Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1447599097
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
Legal business name
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Practice address
11120 New Hampshire Ave
Suite 200
Silver Spring, MD 20904-2633
Phone
(301) 592-8200
Fax
(301) 592-8300
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Michelle Lynne Barkdoll
Title
Manager
Phone
(301) 592-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251H1200X Primary

Addresses

Primary practice location

11120 New Hampshire Ave
Suite 200
Silver Spring, MD 20904-2633

Mailing address

11120 New Hampshire Ave
Suite 200
Silver Spring, MD 20904-2633
Phone (301) 592-8200

Other identifiers 1

IdentifierTypeStateIssuer
413765500MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy and Pain Management Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1447599097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-592-8200",
            "fax_number": "301-592-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-592-8200",
            "fax_number": "301-592-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "BARKDOLL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-592-8200"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413765500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.