NPIMap

Organization Active NPI

District Core Physical Therapy

  • Physical Therapist
  • Hyattsville, MD
National Provider Identifier
1760002091
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DISTRICT CORE PHYSICAL THERAPY
Practice address
3920 Livingston St
Hyattsville, MD 20781-1739
Phone
(313) 286-7142
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Mia Montgomery
Title
Owner
Phone
(313) 286-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3920 Livingston St
Hyattsville, MD 20781-1739

Mailing address

3920 Livingston St
Hyattsville, MD 20781-1739

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1760002091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 LIVINGSTON ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 LIVINGSTON ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811739",
            "telephone_number": "313-286-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT CORE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-286-7142"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.