Center for Neuromuscular and Massage Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

870319 Issued in DC

Legal business name

CENTER FOR NEUROMUSCULAR AND MASSAGE REHABILITATION LLC

Practice address

1712 I St NW BSMT Level # 110
Washington, DC 20006-3702

Phone

(202) 257-1363

Fax

(202) 223-4450

NPI assigned

Jun 14, 2007

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Kula, DPTNPI 1144480856

Title

Member, Owner

Phone

(202) 257-1363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Center for Neuromuscular and Massage Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Neuromuscular and Massage Rehabilitation

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1922325208
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Michael Kula, MSPT

  • Physical Therapist
  • Washington, DC
  • NPI 1144480856
  Medicare reassignment NPD Authorized official
• Jordan McIntyre, PT, DPT

  • Physical Therapist
  • Washington, DC
  • NPI 1407720790

  Multi-Specialty

  Medicare reassignment NPD
• Lauren D Tidwell

  • Physical Therapist
  • Washington, DC
  • NPI 1114517257
  Medicare reassignment NPD
• Ella Khan, DPT

  • Physical Therapist
  • Ocala, FL
  • NPI 1093484693

  DC

  Medicare reassignment NPD
• Juhi Shukla, PT, MHS

  • Physical Therapist
  • Evansville, IN
  • NPI 1487192068

  DC

  Medicare reassignment NPD
• Zachary Urben, DC

  • Chiropractor
  • Washington, DC
  • NPI 1619368404
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1700080496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 NEWBURY DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564620",
            "telephone_number": "571-243-3609",
            "fax_number": "202-223-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 I ST NW BSMT LEVEL # 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "202-257-1363",
            "fax_number": "202-223-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROMUSCULAR AND MASSAGE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "KULA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER, OWNER",
        "authorized_official_telephone_number": "202-257-1363",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "870319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

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