Physical Therapy Professional Center Inc
LBN: Physical Therapy Professional Center Inc
Physical Therapy Professional Center Inc is an health care organization with primary practice located at 17B Firstfield Rd Ste 105, Gaithersburg MD 20878. 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.
Physical Therapy Professional Center Inc can be contacted via phone (301) 990-1449, or through Gerachenko, Natalia via phone (301) 990-1449.
Contact Information
Primary practice address
17B Firstfield Rd Ste 105
Gaithersburg MD 20878
Phone: (301) 990-1449
Fax: (301) 990-1016
Website:
Authorized official contact:
Name: Gerachenko, Natalia Master of Physical Therapy (MPT)
Phone: (301) 990-1449
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 18893 | Maryland |
Profile Details
| NPI number | 1649390840 |
|---|---|
| LBN Legal business name | Physical Therapy Professional Center Inc |
| DBA Doing business as | |
| Authorized official | Gerachenko, Natalia Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Aug 19th, 2021 - about 5 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 | 1649390840 | NPPES |
| Maryland | Other | 3312816 | AETNA POS |
| Maryland | Other | 480182 | AETNA POS |
| Maryland | Other | 110A | AETNA POS |
| Maryland | Other | J1080001 | AETNA POS |
| Maryland | Other | 110A | AETNA POS |
| Maryland | Other | 7097210 | AETNA POS |
| Maryland | MEDICAID | 405806200 | AETNA POS |
| Maryland | Other | 3312816 | AETNA POS |
| Maryland | Other | J1080001 | AETNA POS |
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