Active NPI
Navah Physical Therapy LLC
Doing business as Navah Physical Therapy
- Orthopedic Physical Therapist
- Upper Marlboro, MD
National Provider Identifier
1447881396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- NAVAH PHYSICAL THERAPY LLC
- Doing business as
- Navah Physical Therapy
- Practice address
- 77 Kettering Dr
Upper Marlboro, MD 20774-1676 - Phone
- (240) 312-2010
- Fax
- (240) 312-2010
- NPI assigned
- Jan 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamila Cshatel Rawlings Logan, PT
- Title
- Physical Therapist
- Phone
- (301) 793-1082
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
77 Kettering Dr
Upper Marlboro, MD 20774-1676
Mailing address
77 Kettering Dr
Upper Marlboro, MD 20774-1676
Phone (240) 312-2010
Other names 1
- Navah Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
77 Kettering Dr
Uppr Marlboro, MD 20774
Phone (240) 312-2010
Practitioners & affiliated clinicians
Practitioners 1
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": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1447881396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 KETTERING DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741676",
"telephone_number": "240-312-2010",
"fax_number": "240-312-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 KETTERING DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741676",
"telephone_number": "240-312-2010",
"fax_number": "240-312-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVAH PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "JAMILA",
"authorized_official_middle_name": "CSHATEL RAWLINGS",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "301-793-1082",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Navah Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Navah Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.