NPIMap

Organization Active NPI

Mosaddegh Physical Therapy Inc

Doing business as Physical Therapy & Sports Medicine Center

  • Physical Therapist
  • Olney, MD
National Provider Identifier
1821583154
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOSADDEGH PHYSICAL THERAPY INC
Doing business as
Physical Therapy & Sports Medicine Center
Practice address
17902 Georgia Ave
Ste 100
Olney, MD 20832-1768
Phone
(301) 774-1789
Fax
(301) 774-1394
NPI assigned
Jun 28, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Sohaila Mosaddegh, PT, DPT
Title
Ceo
Phone
(301) 774-1789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

17902 Georgia Ave
Ste 100
Olney, MD 20832-1768

Mailing address

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

Other names 1

  • Physical Therapy & Sports Medicine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Sports Me9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

17902 Georgia Ave
Ste 100
Olney, MD 20832
Phone (301) 260-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1821583154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE",
            "address_2": "STE 100",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321768",
            "telephone_number": "301-774-1789",
            "fax_number": "301-774-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSADDEGH PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "MOSADDEGH",
        "authorized_official_first_name": "SOHAILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-774-1789",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy & Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.