Sport And Spine Rehab Of Chevy Chase
LBN: Sport And Spine Rehab Of Chevy Chase
Sport And Spine Rehab Of Chevy Chase is an health care organization with primary practice located at 5530 Wisconsin Ave , Chevy Chase MD 20815-4404. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Sport And Spine Rehab Of Chevy Chase can be contacted via phone (301) 986-1701, or through Thibodeaux, David P via phone (240) 766-0300.
Contact Information
Primary practice address
5530 Wisconsin Ave
Chevy Chase MD 20815-4404
Phone: (301) 986-1701
Fax: (240) 766-0304
Website:
Authorized official contact:
Name: Thibodeaux, David P Physical Therapist (PT)
Phone: (240) 766-0300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 22286 | Maryland |
Profile Details
| NPI number | 1851548317 |
|---|---|
| LBN Legal business name | Sport And Spine Rehab Of Chevy Chase |
| DBA Doing business as | |
| Authorized official | Thibodeaux, David P Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Aug 26th, 2008 - about 16 years 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 | 1851548317 | NPPES |
| Maryland | Other | 0700SP | BCBS OF MD |
| Maryland | Other | A518 | BCBS OF MD |
| Maryland | Other | 718214 | BCBS OF MD |
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