Individual provider Active NPI

Ayhan Cetiner, DPT

  • Physical Therapist
  • Germantown, MD
National Provider Identifier
1912303942
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25274 Issued in MD
Practice address
19785 Crystal Rock Dr
Suite 311
Germantown, MD 20874-4700
Phone
(301) 540-3529
Fax
(301) 540-3623
NPI assigned
Nov 19, 2014
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25274 MD Primary

Addresses

Primary practice location

19785 Crystal Rock Dr
Suite 311
Germantown, MD 20874-4700

Mailing address

501 Fairmount Ave Ste 302
Towson, MD 21286-5494
Phone (301) 540-3529

Other practice location 1

19785 Crystal Rock Dr
Suite 311
Germantown, MD 20874-4700
Phone (301) 540-3529

Other identifiers 1

IdentifierTypeStateIssuer
25274OtherMDLICENSE NUMBER

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Sep 29, 2024 Accepting new patients

Locations

10220 River Rd
Ste 2
Potomac, MD 20854
Phone (301) 299-0648

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1912303942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865494",
            "telephone_number": "301-540-3529",
            "fax_number": "301-540-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR",
            "address_2": "SUITE 311",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744700",
            "telephone_number": "301-540-3529",
            "fax_number": "301-540-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19785 Crystal Rock Dr",
            "address_2": "Suite 311",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208744700",
            "country_code": "US",
            "telephone_number": "301-540-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CETINER",
        "first_name": "AYHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "25274",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.