Avante Ortho
Organization Active NPI Physical Therapy Clinic/Center · Berwyn Heights, MD
NPI 1548094931 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1548094931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- AVANTE ORTHO
- Practice address
- 8824 Cunningham Dr
Berwyn Heights, MD 20740-2338 - Phone
- (202) 302-1475
- NPI assigned
- Aug 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Sylvia Biggs
- Title
- Billing Manager
- Phone
- (410) 340-1914
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Practitioners 3
-
Toni Pierce, NP-C
-
Chinyere Ukaegbu, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241216000025 | DC | Part B Supplier - Clinic/Group Practice | 3779019682 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Berwyn Heights, MD |
| O20250611000206 | MD | DME Supplier - Physician - Physical and Rehabilitation |
3779019682 | Practice locations: Berwyn Heights, MD |
National Provider Directory
Locations
8824 Cunningham Dr
Berwyn Heights, MD 20740
Phone (202) 302-1475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
8824 Cunningham Dr
Berwyn Heights, MD 20740-2338
Mailing address
11140 Rockville Pike Ste 100-232
Rockville, MD 20852-3106
Phone (202) 302-1475
Other names
- Avante College Park Physical Therapy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ortho911gb@gmail.com | Direct |
Other providers in Berwyn Heights, MD
- Assurance Health and Wellness LLC
- Assurance Health Care, Inc.
- Assurance Health Care, Inc.
- Rochelle Wynne Austrian
- Avante Ortho
- Avante Ortho
- Adelaide Lem Ayukegba
- Deronchelle Dion Baipsi Neh
- Jacqueline Barnett
- Barry H. Epstein, MD, Leroy E. Cohen, MD, PA
All providers in Berwyn Heights, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.