Individual provider Active NPI

Angela V McClain, PTA

  • Physical Therapy Assistant
  • Greenbelt, MD
National Provider Identifier
1679297105
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011
Phone
(301) 446-1644
Fax
(301) 446-1647
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X T16406 MD
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011

Mailing address

17902 Georgia Ave Ste 220
Olney, MD 20832-2279
Phone (240) 774-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T16406MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc. CurrentSince Oct 2, 2022 Accepting new patients
Mosaddegh Physical Therapy Inc PastSince Oct 2, 2022 Accepting new patients

Locations

17902 Georgia Ave
Ste 220
Olney, MD 20832

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1679297105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 220",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322279",
            "telephone_number": "240-774-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ANGELA",
        "middle_name": "V",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "T16406",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.