Organization Active NPI

Healing Institute of Physical Therapy LLC

  • Physical Therapist
  • Capitol Heights, MD
National Provider Identifier
1669289682
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALING INSTITUTE OF PHYSICAL THERAPY LLC
Practice address
9100 E Hampton Dr # A2
Capitol Heights, MD 20743-3809
Phone
(301) 237-2032
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Tyler LoganNPI 1295485050
Title
Owner
Phone
(301) 237-2032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9100 E Hampton Dr # A2
Capitol Heights, MD 20743-3809

Mailing address

4500 Forbes Blvd
Suite 200 #1126
Lanham, MD 20706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250512001443 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365967361 Receives reassigned benefits from 1 practitioner
Practice locations: Capitol Heights, MD

National Provider Directory

National Provider Directory

Locations

9100 E Hampton Dr
Ste A2
Capitol Hgts, MD 20743

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": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1669289682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD",
            "address_2": "SUITE 200 #1126",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 E HAMPTON DR # A2",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433809",
            "telephone_number": "301-237-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING INSTITUTE OF PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-237-2032"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.