Individual provider Active NPI

Henok Berhanu Habteyes, DPT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1851951073
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27534 Issued in MD
Practice address
9710 Woodland Dr
Silver Spring, MD 20910-1419
Phone
(202) 375-4091
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5000015 DC
Physical Therapist 225100000X 27534 MD Primary

Addresses

Primary practice location

9710 Woodland Dr
Silver Spring, MD 20910-1419

Mailing address

9710 Woodland Dr
Silver Spring, MD 20910-1419
Phone (202) 375-4091

Other practice location 1

401 Liberty Ct
Edgewood, MD 21040-2215
Phone (301) 530-2383

Other practice location 2

1015 18th St NW Ste 300
Washington, DC 20036-5217
Phone (202) 835-2222

Other practice location 3

6308 Democracy Blvd
Bethesda, MD 20817-1664
Phone (301) 530-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210617001693 MD Practitioner - Physical Therapist in Private Practice 0345640041 Reassigns benefits to 1 organization
I20210617001805 DC Practitioner - Physical Therapist in Private Practice 0345640041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Rheumatism Associates PCGroup PAC ID 5597750703, 50 clinicians

Practice addresses (Care Compare)

2021 K St NW
Suite 300
Washington, DC 20006-1012
Phone 3019427600430

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as group
Quality
93.41
Promoting interoperability
100
Improvement activities
40
Cost
59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5000015DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
The Light Physical Therapy Physical Therapist CurrentSince Apr 25, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 13, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 13, 2021 Accepting new patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Arthritis and Rheumatism Associates PC CurrentSince Sep 18, 2023 Accepting new patients

Locations

2021 K St NW
Ste 300
Washington, DC 20006
Phone (301) 942-3126

1015 18th St NW
Ste 300
Washington, DC 20036
Phone (202) 835-2222

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

2730 University Blvd W
Ste 310
Wheaton, MD 20902

7 Carnegie Plz
Cherry Hill, NJ 08003

Interoperability endpoints

  • Direct secure messaging: henok.habteyes.p1@direct.aramd.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1851951073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 WOODLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101419",
            "telephone_number": "202-375-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 WOODLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101419",
            "telephone_number": "202-375-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Liberty Ct",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "MD",
            "postal_code": "210402215",
            "country_code": "US",
            "telephone_number": "301-530-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 18th St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365217",
            "country_code": "US",
            "telephone_number": "202-835-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6308 Democracy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171664",
            "country_code": "US",
            "telephone_number": "301-530-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABTEYES",
        "first_name": "HENOK",
        "middle_name": "BERHANU",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-11-09",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT5000015",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.