NPIMap

Organization Active NPI

Mosaddegh Physical Therapy Inc

Doing business as Physical Therapy Sports Medicine Center

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1457838682
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOSADDEGH PHYSICAL THERAPY INC
Doing business as
Physical Therapy Sports Medicine Center
Practice address
7301 E. Furnace Branch Rd.
Ste. a
Glen Burnie, MD 21060-1059
Phone
(443) 422-3500
Fax
(443) 422-3513
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Sohalia Mosaddegh, PT, DPT
Title
Ceo
Phone
(301) 774-1789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

7301 E. Furnace Branch Rd.
Ste. a
Glen Burnie, MD 21060-1059

Mailing address

7500 Hanover Pkwy
Ste. 103
Creenbelt, MD 20770-0000
Phone (301) 446-1644

Other names 1

  • Physical Therapy Sports Medicine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Sports Me9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

7301 E Furnace Branch Rd
Ste A
Glen Burnie, MD 21060
Phone (443) 422-3500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1457838682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE. 103",
            "city": "CREENBELT",
            "state": "MD",
            "postal_code": "207700000",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E. FURNACE BRANCH RD.",
            "address_2": "STE. A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210601059",
            "telephone_number": "443-422-3500",
            "fax_number": "443-422-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSADDEGH PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MOSADDEGH",
        "authorized_official_first_name": "SOHALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-774-1789",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.