Active NPI
Ian Tristan Sering Abedejos
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1861973315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26822
- Practice address
- 2601 Bel Pre Rd
Silver Spring, MD 20906-2313 - Phone
- (301) 598-6000
- Fax
- (301) 598-4678
- NPI assigned
- Aug 23, 2018
- Last updated
- Aug 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26822 | MD | Primary |
Addresses
Primary practice location
2601 Bel Pre Rd
Silver Spring, MD 20906-2313
Mailing address
210 E Fairfax St Apt 219
Falls Church, VA 22046-2906
Phone (571) 635-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26822 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1861973315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E FAIRFAX ST APT 219",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462906",
"telephone_number": "571-635-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 BEL PRE RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062313",
"telephone_number": "301-598-6000",
"fax_number": "301-598-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEDEJOS",
"first_name": "IAN TRISTAN",
"middle_name": "SERING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26822",
"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 Aug 23, 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.