NPIMap

Organization Active NPI

Tyson Training LLC

  • Physical Therapy Clinic/Center
  • Lanham, MD
National Provider Identifier
1851899736
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
22203 Issued in MD
Legal business name
TYSON TRAINING LLC
Practice address
4501 Forbes Blvd Ste a
Lanham, MD 20706-4332
Phone
(301) 828-7363
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Joseph Tyson
Title
Owner
Phone
(301) 828-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 22203 MD Primary

Addresses

Primary practice location

4501 Forbes Blvd Ste a
Lanham, MD 20706-4332

Mailing address

4501 Forbes Blvd Ste a
Lanham, MD 20706-4332

Other identifiers 1

IdentifierTypeStateIssuer
22203OtherMDPHYSICAL THERAPY LICENSE

National Provider Directory

National Provider Directory

Locations

4501 Forbes Blvd
Ste A
Lanham, MD 20706
Phone (301) 828-7363

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1851899736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 FORBES BLVD STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 FORBES BLVD STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064332",
            "telephone_number": "301-828-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-828-7363"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "22203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "22203",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.