NPIMap

Organization Active NPI

Mosaddegh Physical Therapy Inc.

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1861966160
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOSADDEGH PHYSICAL THERAPY INC.
Practice address
14113 Baltimore Ave Ste B
Laurel, MD 20707-5073
Phone
(301) 347-4737
NPI assigned
Jan 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Authorized official

Name
Sasan Chalezamini
Title
Coo
Phone
(301) 446-1644

Specialties & licenses 1

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

Addresses

Primary practice location

14113 Baltimore Ave Ste B
Laurel, MD 20707-5073

Mailing address

7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011
Phone (301) 446-1644

National Provider Directory

National Provider Directory
Tax ID family
Mosaddegh Physical Therapy9 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547942400000",
    "number": "1861966160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "301-446-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14113 BALTIMORE AVE STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075073",
            "telephone_number": "301-347-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSADDEGH PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A",
        "authorized_official_last_name": "CHALEZAMINI",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "301-446-1644"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.