The Light Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE LIGHT PHYSICAL THERAPY

Practice address

9710 Woodland Dr
Silver Spring, MD 20910-1419

Phone

(202) 375-4091

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By 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

Dr. Henok Berhanu Habteyes, DPTNPI 1851951073

Title

Physical Therapist

Phone

(202) 375-4091

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Henok Berhanu Habteyes, DPT

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1851951073
  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1740862556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 WOODLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101419",
            "telephone_number": "202-375-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 WOODLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101419",
            "telephone_number": "202-375-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "HABTEYES",
        "authorized_official_first_name": "HENOK",
        "authorized_official_middle_name": "BERHANU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "202-375-4091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.