Infrastructured Institute, LLC

Primary specialty

KinesiotherapistTaxonomy code 226300000X

Legal business name

INFRASTRUCTURED INSTITUTE, LLC

Practice address

4701 Randolph Road
Suite 208
Rockville, MD 20852

Phone

(301) 230-3131

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By 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

Ms. Michele Diseati, AADP

Title

Kinesiotherapist

Phone

(301) 230-3131

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1790038958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH ROAD",
            "address_2": "SUITE 208",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-230-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH ROAD",
            "address_2": "SUITE 208",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-230-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFRASTRUCTURED INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DISEATI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "KINESIOTHERAPIST",
        "authorized_official_telephone_number": "301-230-3131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AADP"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.