WONDWOSSEN MEKBIB (NPI# 1811439797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811439797 |
| Entity Type | Individual |
| Full Name | WONDWOSSEN MEKBIB |
| Credential | PT, DPT |
| Practice Address |
2830 Campus Way N Ste 616 Lanham MD 20706-1669 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 3017987014 |
| Practice Fax Number | 3017200126 |
| Mailing Telephone | 9195358758 |
| Mailing Fax Number | 9195353271 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
26814 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Schuyler Rd Apt 103, Silver Spring, MD 209014160 | 2404223799 | |
| 12200 Annapolis Rd Ste 119, Glenn Dale, MD 207699182 | 3018055006 | 3018055006 |
| Street Address |
2830 CAMPUS WAY N STE 616 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083857163 | Quiana Patrice Roberts | Physical Therapist | 2830 Campus Way N Ste 616, Lanham, MD 20706-1669 | 2009-04-20 |
| 1912413352 | Professional Sportscare & Rehab, LLC | Physical Therapist | 2830 Campus Way N Ste 616, Lanham, MD 20706-1669 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073962726 | Anthony Sowers | Physical Therapist | 4451 Parliament Pl, Suite G, Lanham, MD 20706-1843 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665262 | Ah Concierge Physical Therapy LLC | Physical Therapist | 5889 Solomons Island Road #626, Tracys Landing, MD 20779 | 2020-10-06 |
| 1417417163 | Elite Performance Institute LLC | Physical Therapist | 19719 Leitersburg Pike, Hagerstown, MD 21742-1443 | 2019-03-20 |
| 1942767439 | Lara Anderson | Physical Therapist | 23000 Moakley St Ste 101, Leonardtown, MD 20650-2916 | 2019-02-21 |
| 1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
| 1427532126 | Taylor Physical Therapy, P.C. | Physical Therapist | 2419 Whiteford Rd Ste A, Whiteford, MD 21160-1218 | 2018-09-18 |
| 1316438070 | Dylan Marks | Physical Therapist | 5024 Dorsey Hall Dr Ste 103, Ellicott City, MD 21042-7869 | 2018-05-29 |
| 1225529829 | Inspire Movement Physical Therapy, LLC | Physical Therapist | 3301 Ridge Rd, Westminster, MD 21157-7443 | 2018-05-21 |
| 1619480258 | Knicley Se, LLC | Physical Therapist | 3540 Sugarloaf Pkwy Ste D03, Frederick, MD 21704-7901 | 2017-11-06 |
| 1033620539 | Adam Fuehrer | Physical Therapist | 2 W Rolling Xrds, Catonsville, MD 21228-6208 | 2017-10-24 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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| 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.