Organization Active NPI

Navah Physical Therapy LLC

Doing business as Navah Physical Therapy

  • Orthopedic Physical Therapist
  • Upper Marlboro, MD
National Provider Identifier
1447881396
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Feb 24, 2021

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608000258 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466852835 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.