Active NPI
Healing Institute of Physical Therapy LLC
- Physical Therapist
- Capitol Heights, MD
National Provider Identifier
1669289682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Logan
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.