JAN ACTIVE THERAPY LLC


Address: 1509 Baylor Ave, Rockville, MD 20850-1026
Phone: 3017449673

JAN ACTIVE THERAPY LLC (NPI# 1285146423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285146423
Entity Type Organization
Organization Name JAN ACTIVE THERAPY LLC
Practice Address 1509 Baylor Ave
Rockville
MD 20850-1026
Practice Telephone 3017449673
Enumeration Date 2017-10-27
Last Update Date 2017-10-27
Authorized Official Name DR. NICHOLAS JAN (CEO)
Authorized Official Telephone 3017449673
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 1509 BAYLOR AVE
City ROCKVILLE
State MD
Zip Code 20850-1026

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1972676179 Rehab At Work, Corp. Clinic/Center 30 W Gude Dr, Suite 160, Rockville, MD 20850-1161 2006-11-16
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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