TRIUMPH PEDIATRIC CENTER (NPI# 1003432097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003432097 |
Entity Type | Organization |
Organization Name | TRIUMPH PEDIATRIC CENTER |
Practice Address |
4900 Massachusetts Ave Nw # 340 Washington DC 20016-4358 |
Mailing Address |
1710 W Virginia Ave Ne Unit 101 Washington DC 20002-2338 |
Practice Telephone | 2403364976 |
Mailing Telephone | 2027391861 |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-06-25 |
Authorized Official Name | MR. OMOLOLU OLUWATOSIN MAJEKODUNMI (CEO) |
Authorized Official Telephone | 2403364976 |
Authorized Official Credential | OTR/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
4900 MASSACHUSETTS AVE NW # 340 |
City | WASHINGTON |
State | DC |
Zip Code | 20016-4358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
Find all providers in zip 20016 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
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 |
1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
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 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20016 |
Please comment or provide details below to improve the information on TRIUMPH PEDIATRIC CENTER.
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.