Active NPI
Charles M. Dilla, P.T., P.a.
- Physical Therapy Clinic/Center
- Silver Spring, MD
National Provider Identifier
1912208240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 14012
- Legal business name
- CHARLES M. DILLA, P.T., P.A.
- Practice address
- 11237 Lockwood Dr
Silver Spring, MD 20901-4554 - Phone
- (301) 681-6077
- Fax
- (301) 681-3798
- NPI assigned
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles M. Dilla, PT
- Title
- President
- Phone
- (301) 681-6077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 14012 | MD | Primary |
Addresses
Primary practice location
11237 Lockwood Dr
Silver Spring, MD 20901-4554
Mailing address
11237 Lockwood Dr
Silver Spring, MD 20901-4554
Phone (301) 681-6077
National Provider Directory
National Provider DirectoryLocations
11237 Lockwood Dr
Silver Spring, MD 20901
Phone (301) 681-6077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288742400000",
"number": "1912208240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11237 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014554",
"telephone_number": "301-681-6077",
"fax_number": "301-681-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11237 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014554",
"telephone_number": "301-681-6077",
"fax_number": "301-681-3798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES M. DILLA, P.T., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A",
"authorized_official_last_name": "DILLA",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-681-6077",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "14012",
"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 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.