Martial Arts & Sports PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT871023 Issued in DC

Legal business name

MARTIAL ARTS & SPORTS PT PLLC

Practice address

1712 I St NW
Suite 305
Washington, DC 20006-3702

Phone

(202) 803-2068

Fax

(202) 525-1249

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Jessica Probst, PT, MSPT, SMAC

Title

Owner

Phone

(202) 803-2068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1962748434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 I ST NW",
            "address_2": "SUITE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "202-803-2068",
            "fax_number": "202-525-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 I ST NW",
            "address_2": "SUITE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "202-803-2068",
            "fax_number": "202-525-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIAL ARTS & SPORTS PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-803-2068",
        "authorized_official_credential": "PT, MSPT, SMAC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.