Issa Physical Therapy & Wellness, LLC.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ISSA PHYSICAL THERAPY & WELLNESS, LLC.

Practice address

5415 W Cedar LN Ste 204B
Bethesda, MD 20814-1524

Phone

(301) 231-0095

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Tamer Salah Issa

Title

Owner

Phone

(240) 601-1373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1760097547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610114",
            "telephone_number": "301-231-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN STE 204B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141524",
            "telephone_number": "301-231-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17821 Tree Lawn Dr",
            "address_purpose": "LOCATION",
            "city": "Ashton",
            "state": "MD",
            "postal_code": "208613344",
            "country_code": "US",
            "telephone_number": "301-231-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISSA PHYSICAL THERAPY & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "TAMER",
        "authorized_official_middle_name": "SALAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-601-1373"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Bethesda, MD
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• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.