Organization Active NPI

Issa Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Rockville, MD
National Provider Identifier
1750406872
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Oct 27, 2015

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.