Form & Function Physical Therapy Llc in District Heights - Physical Therapist
Form & Function Physical Therapy Llc - NPI 1508080219
Form & Function Physical Therapy Llc is a Physical Therapist in District Heights, Maryland. Form & Function Physical Therapy Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Form & Function Physical Therapy Llc is 1508080219. The last update date is 2011-05-27.
Form & Function Physical Therapy Llc's current location address is 5924 Marlboro Pike, District Heights, Maryland. You can contact this provider via phone number 2023163658 and fax number 3019671215. The mailing address for Form & Function Physical Therapy Llc is 5924 Marlboro Pike, District Heights, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Form & Function Physical Therapy Llc |
|---|---|
| Address | 5924 Marlboro Pike, District Heights, Maryland |
| Phone Number | 2023163658 |
| Fax Number | 3019671215 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Anderson Kevin |
| Credentials | MPT |
| Telephone Number | 3019671215 |
NPI Number Detail
| NPI Number | 1508080219 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2011-05-27 |
Provider Mailing Address Detail
| Address | 5924 Marlboro Pike |
|---|---|
| City | District Heights |
| State | Maryland (MD) |
| Post Code | 207471142 |
| Phone Number | 2023163658 |
| Fax Number | 3019671215 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 20814 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code assigned to Form & Function Physical Therapy Llc by the Centers for Medicare & Medicaid Services?
The Form & Function Physical Therapy Llc has been issued the NPI (National Provider Identifier) 1508080219 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Form & Function Physical Therapy Llc located?
The Form & Function Physical Therapy Llc is located at 5924 Marlboro Pike, District Heights, MD 207471142.
What is Form & Function Physical Therapy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Form & Function Physical Therapy Llc's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Form & Function Physical Therapy Llc receive the assignment of its 1508080219 from the Centers for Medicare & Medicaid Services?
The Form & Function Physical Therapy Llc was issued its 1508080219 by the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date was the information regarding Form & Function Physical Therapy Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Form & Function Physical Therapy Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-27.