Active NPI
Hadassa Roberts, P.T.
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1548413602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21301
- Practice address
- 1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1725 - Phone
- (301) 434-1980
- Fax
- (301) 434-1981
- NPI assigned
- Nov 2, 2008
- Last updated
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21301 | MD | Primary |
| Physical Therapist | 225100000X | 2305203763 | VA | |
| Physical Therapist | 225100000X | PT870629 | DC |
Addresses
Primary practice location
1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1725
Mailing address
1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1725
Phone (301) 434-1980
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46950034 | Other | CAREFIRST NCA | |
| PT870629 | Other | DC LICENSE | |
| 21301 | Other | MARYLAND LICENSE | |
| 2305203763 | Other | VIRGINIA LICENSE |
Other names 1
- Ms. Hadassa Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1797
Phone (301) 434-1980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870629 | DC | MD | Physical Therapist |
| 2305203763 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Physical Therapy and Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1738 Elton Rd
Ste 230
Silver Spring, MD 20903
Phone (301) 434-1980
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Silver Spring, MD
- NPI 1437468741
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1548413602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 ELTON RD",
"address_2": "SUITE 230",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031725",
"telephone_number": "301-434-1980",
"fax_number": "301-434-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1738 ELTON RD",
"address_2": "SUITE 230",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031725",
"telephone_number": "301-434-1980",
"fax_number": "301-434-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "HADASSA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-02",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21301",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203763",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870629",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST NCA",
"identifier": "46950034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "PT870629",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND LICENSE",
"identifier": "21301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "2305203763",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HADASSA",
"last_name": "LEWIS",
"prefix": "MS.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.