Individual provider Active NPI

Marwan A. Kublawi, PT

  • Physical Therapist
  • Chevy Chase, MD
National Provider Identifier
1801965223
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21840 Issued in MD
Practice address
5454 Wisconsin Ave
Suite 1555
Chevy Chase, MD 20815
Phone
(301) 951-8593
Fax
(301) 951-8598
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21840 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave
Suite 1555
Chevy Chase, MD 20815

Mailing address

5454 Wisconsin Ave
Suite 1555
Chevy Chase, MD 20815
Phone (301) 951-8593

Other practice location 1

5411 W Cedar Ln Ste 105A
Bethesda, MD 20814-1516
Phone (301) 564-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040402001365 DC Practitioner - Physical Therapist in Private Practice 8527051911 Reassigns benefits to 3 organizations
I20241219000838 MD Practitioner - Physical Therapist in Private Practice 8527051911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLC 166 clinicians

Practice addresses (Care Compare)

18221 Village Ctr Dr
Olney, MD 20832-1416
Phone (301) 798-7031

5411 W Cedar Lane
Suite 105a
Bethesda, MD 20814-1516
Phone (301) 564-4040

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Dec 13, 2024 Accepting new patients
Washington Orthopaedics and Sports Medicine, P.a. CurrentSince Dec 1, 2008 Accepting new patients
Sports and Orthopedic Therapy Services LLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Washington Orthopaedics and Sports Medicine, P.a. CurrentSince Dec 1, 2008 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Dec 13, 2024 Accepting new patients
Orthology Mid-Atlantic Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Sports and Spinal Physical Therapy, Inc. Physical Therapist PastSince Feb 28, 2017 Accepting new patients

Locations

2021 K St NW
Ste 516
Washington, DC 20006
Phone (301) 657-1996

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

5411 W Cedar Ln
Ste 105A
Bethesda, MD 20814
Phone (301) 251-4424

5550 Friendship Blvd
Ste 360
Chevy Chase, MD 20815
Phone (240) 241-0420

5454 Wisconsin Ave
Ste 1555
Chevy Chase, MD 20815
Phone (301) 657-1996

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

10605 Concord St
Ste 105
Kensington, MD 20895
Phone (301) 946-7717

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1801965223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 1555",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-951-8593",
            "fax_number": "301-951-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 1555",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-951-8593",
            "fax_number": "301-951-8598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 W Cedar Ln Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141516",
            "country_code": "US",
            "telephone_number": "301-564-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBLAWI",
        "first_name": "MARWAN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.