NPIMap

Organization Active NPI

Az Pain Management & Physical Therapy Center, LLC

  • Physical Therapist
  • Oxon Hill, MD
National Provider Identifier
1508193186
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18557 Issued in MD
Legal business name
AZ PAIN MANAGEMENT & PHYSICAL THERAPY CENTER, LLC
Practice address
6188 Oxon Hill Rd
Suite 300
Oxon Hill, MD 20745-3113
Phone
(301) 567-7678
Fax
(301) 567-3643
NPI assigned
Nov 3, 2009
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Odessa G Cruz
Title
Office Manager
Phone
(301) 567-7678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18557 MD Primary

Addresses

Primary practice location

6188 Oxon Hill Rd
Suite 300
Oxon Hill, MD 20745-3113

Mailing address

PO Box 984
Temple Hills, MD 20757-0984
Phone (301) 567-7678

National Provider Directory

National Provider Directory

Locations

6188 Oxon Hill Rd
Ste 300
Oxon Hill, MD 20745
Phone (301) 266-0738

Practitioners & affiliated clinicians

Practitioners 3

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": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1508193186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207570984",
            "telephone_number": "301-567-7678",
            "fax_number": "301-567-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD",
            "address_2": "SUITE 300",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453113",
            "telephone_number": "301-567-7678",
            "fax_number": "301-567-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PAIN MANAGEMENT & PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ODESSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-567-7678"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.