Mindful Mobility Physical Therapy & Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

26189 Issued in MD

Legal business name

MINDFUL MOBILITY PHYSICAL THERAPY & WELLNESS

Practice address

713 Dartmouth Ave
Silver Spring, MD 20910-5540

Phone

(847) 858-7767

NPI assigned

Aug 9, 2017

Organization subpart

No

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

Authorized official

Name

Kendall LynchNPI 1235437765

Title

Owner

Phone

(847) 858-7767

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall Lee Lynch, DPT, OCS

  • Physical Therapist
  • New York, NY
  • NPI 1235437765
  NPD Authorized official

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1821513045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3830",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209183830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 DARTMOUTH AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105540",
            "telephone_number": "847-858-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOBILITY PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-858-7767"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "26189",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DC",
            "license": "871791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trufat Minase
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• Mind Wise, LLC
• Mindful Mentoring of Metropolitan Washington, LLC
• Mindful Therapy Connections LLC
• Mindfully Rooted Collaborative Therapy, LLC
• Mindlife Counseling LLC
• Mindlincs
• Mindology LLC

• Physical Therapy Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.