Crescent Cities Charities Inc
Organization Active NPI Physical Therapist · Riverdale, MD
NPI 1740729151 · NPPES record last updated Sep 13, 2017
Key facts
- NPI
- 1740729151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16039 (MD)
- Legal business name
- CRESCENT CITIES CHARITIES INC
- Practice address
- 4409 E West Hwy
Riverdale, MD 20737-1058 - Phone
- (301) 699-2000
- NPI assigned
- Feb 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Betsy Godbey
- Title
- Secretary
- Phone
- (301) 567-7076
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 16039 | MD | Yes |
| Occupational Therapist |
225X00000X | 16039 | MD |
Addresses
Primary practice location
4409 E West Hwy
Riverdale, MD 20737-1058
Mailing address
4409 E West Hwy
Riverdale, MD 20737-1058
Phone (301) 699-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073726700 | Medicaid | MD |
Other names
- Crescent Cities Center
Other providers in Riverdale, MD
- Complete Physical Therapy, LLC
- Conscientious Coupling, LLC
- Millicent Conteh
- Creative Options & Employment, LLC
- Crescent Cities Charities Inc
- Crescent Cities SNF LLC
- Crescent Cities SNF LLC
- Abraham Bake Dabela
- Abiodin Dada
- Elizabeth Dadzie
All providers in Riverdale, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.