COGNITIVE PRO LLC (NPI# 1063904902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063904902 |
| Entity Type | Organization |
| Organization Name | COGNITIVE PRO LLC |
| Other Organization Name | COGX |
| Practice Address |
5410 Edson Ln Suite 310 Rockville MD 20852 |
| Practice Telephone | 3017696867 |
| Mailing Telephone | 3017696867 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | MR. JAVIER ARGUELLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2036754267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Cogx | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COGNITIVE PRO LLC | 5410 Edson Ln Ste 310, Rockville, MD 20852-3155 |
| Street Address |
5410 EDSON LN SUITE 310 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124166707 | Stephanie Bloom | Physical Therapist | 5410 Edson Ln, Suite 350, Rockville, MD 20852-3107 | 2007-02-03 |
| 1720439821 | Oyindamola Awe | Physical Therapist | 5410 Edson Ln, Rockville, MD 20852-3107 | 2016-06-29 |
| 1710361621 | Reshma Patel Rathod | Physical Therapist | 5410 Edson Ln, Suite 350, Rockville, MD 20852-3107 | 2015-07-10 |
| 1568741965 | Miriam Noble Graham | Physical Therapist | 5410 Edson Ln, Suite 350, Rockville, MD 20852-3107 | 2011-08-16 |
| 1548565963 | Restore Motion | Physical Therapist | 5410 Edson Ln, 350, Rockville, MD 20852-3107 | 2011-01-14 |
| 1194055772 | Lauren Noelle Pepper | Chiropractor | 5410 Edson Ln, Suite 210 A, Rockville, MD 20852-3107 | 2010-01-05 |
| 1700913092 | Patrick Bartholomew Wenning | Physical Therapist | 5410 Edson Ln, Suite 350, Rockville, MD 20852-3107 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 103TE1100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Exercise & Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245893791 | Royale Fit LLC | Psychologist | 2015 Mapleleaf Pl, Upper Marlboro, MD 20774-5634 | 2019-04-19 |
| 1073922886 | Antonio D Lindsey | Psychologist | 919 Pleasant Hill Ln, Bowie, MD 20716-1779 | 2014-08-06 |
| 1598281818 | Muhammad Abdul-raheem | Psychologist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-17 |
Please comment or provide details below to improve the information on COGNITIVE PRO LLC.
| 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.