White Oak Physical Therapy
LBN: Physical Therapy And Pain Management Center Llc
White Oak Physical Therapy is an health care organization with primary practice located at 11120 New Hampshire Ave Suite 200, Silver Spring MD 20904-2633. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty.
Physical Therapy And Pain Management Center Llc can be contacted via phone (301) 592-8200, or through Bullock, David Michael via phone (301) 592-8200.
Contact Information
Primary practice address
11120 New Hampshire Ave Suite 200
Silver Spring MD 20904-2633
Phone: (301) 592-8200
Fax: (301) 592-8300
Website:
Authorized official contact:
Name: Bullock, David Michael Physical Therapist (PT)
Phone: (301) 592-8200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 21045 | Maryland |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | PT870409 | District of Columbia |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 870427 | District of Columbia |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1538282827 |
|---|---|
| LBN Legal business name | Physical Therapy And Pain Management Center Llc |
| DBA Doing business as | White Oak Physical Therapy |
| Authorized official | Bullock, David Michael Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jan 17th, 2024 - about 11 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538282827 | NPPES |
| Maryland | MEDICAID | 413765500 |
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