Active NPI
Issa Physical Therapy, Inc.
- Orthopedic Physical Therapist
- Rockville, MD
National Provider Identifier
1750406872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- ISSA PHYSICAL THERAPY, INC.
- Practice address
- 6010 Executive Blvd
Suite 704
Rockville, MD 20852-3809 - Phone
- (301) 231-0095
- Fax
- (301) 231-0092
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamer S. Issa, PT, DPT
- Title
- President
- Phone
- (301) 231-0095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
6010 Executive Blvd
Suite 704
Rockville, MD 20852-3809
Mailing address
6010 Executive Blvd
Suite 704
Rockville, MD 20852-3809
Phone (301) 231-0095
National Provider Directory
National Provider DirectoryLocations
4701 Randolph Rd
Ste G1
Rockville, MD 20852
Phone (240) 601-1373
6010 Executive Blvd
Ste 704
Rockville, MD 20852
Phone (301) 231-0095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1750406872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 EXECUTIVE BLVD",
"address_2": "SUITE 704",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523809",
"telephone_number": "301-231-0095",
"fax_number": "301-231-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 EXECUTIVE BLVD",
"address_2": "SUITE 704",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523809",
"telephone_number": "301-231-0095",
"fax_number": "301-231-0092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISSA PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "ISSA",
"authorized_official_first_name": "TAMER",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-231-0095",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.