MANUAL MEDICINE SPINE AND SPORTS PHYSICAL THERAPY


Address: 1015 15th St Nw, Ste 614k, Washington, DC 20005
Phone: 2026708874

MANUAL MEDICINE SPINE AND SPORTS PHYSICAL THERAPY (NPI# 1962963280) 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) 1962963280
Entity Type Organization
Organization Name MANUAL MEDICINE SPINE AND SPORTS PHYSICAL THERAPY
Practice Address 1015 15th St Nw, Ste 614k
Washington
DC 20005
Mailing Address 833 Decatur St Nw
Washington
DC 20011
Practice Telephone 2026708874
Mailing Telephone 2026708874
Enumeration Date 2019-03-28
Last Update Date 2019-03-28
Authorized Official Name MS. TRUPTI BIPINCHANDRA MEHTA (REPRESENTATIVE)
Authorized Official Telephone 9193025091
Authorized Official Credential PT
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 1015 15TH ST NW, STE 614K
City WASHINGTON
State DC
Zip Code 20005

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1255972212 Viviane None Tankeu Djoteng Home Health Aide 1010 Vermont Street Suite 1003, Washington, DC 20005 2019-10-01
1891349353 Natenael Teshome Jenfessa Registered Nurse 1504 Kingman Pl Nw, Washington, DC 20005 2019-08-01
1245713726 Erica Featherson Psychologist 601 13th St Nw, Washington, DC 20005 2018-09-11
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174132302 Full Circle Pt Clinic/Center 904 E Capitol St Ne Bsmt, Washington, DC 20003-3904 2020-07-23
1871121061 Joe Norton Physical Therapy Pllc Clinic/Center 3222 N St Nw Ste 300, Washington, DC 20007-2895 2020-04-01
1649817990 Phyt Collective, LLC Clinic/Center 818 Connecticut Ave Nw Ste 500, Washington, DC 20006-2713 2019-12-05
1588136733 University Physical Therapy Associates Clinic/Center 1160 Varnum St Ne Ste 217, Washington, DC 20017-2106 2018-12-28
1275014938 District Performance & Physio Clinic/Center 1722 Eye St Nw Bsmt Level, Washington, DC 20006-3710 2018-08-22
1538578950 Progressive Physical Therapy Center LLC Clinic/Center 901 6th St Sw Lbby Level, Fitness Level, Washington, DC 20024-3850 2014-08-11
1245593326 Vital Physical Therapy LLC Clinic/Center 2401 M St Nw, Washington, DC 20037-1408 2012-06-22
1912275595 Rose Physcial Therapy Group Clinic/Center 1101 Connecticut Ave Nw, Washington, DC 20036-4303 2011-12-09
1851687214 Therapeutic Sessions Corporation Clinic/Center 3905 Dix St Ne, Washington, DC 20019-1401 2011-06-23
1679874572 Back To Life Pt Clinic/Center 315 V St Ne, Washington, DC 20002-1411 2010-11-08
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Competitor

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City WASHINGTON
Zip Code 20005

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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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