Core Care Physical Therapy & Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18112 Issued in MD

Legal business name

CORE CARE PHYSICAL THERAPY & WELLNESS LLC

Practice address

10750 Columbia Pike Ste 401B
Silver Spring, MD 20901-4457

Phone

(301) 592-1500

Fax

(301) 592-1506

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Gale Hine, M.P.T.

Title

Ceo

Phone

(301) 801-6818

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689927055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 DECATUR AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952335",
            "telephone_number": "301-801-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 401B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014457",
            "telephone_number": "301-592-1500",
            "fax_number": "301-592-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 Lockwood Dr",
            "address_2": "Suite #280",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209011556",
            "country_code": "US",
            "telephone_number": "301-801-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE CARE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-801-6818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328402600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Silver Spring, MD
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• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.