MRS. TERESA ICHNIOWSKI (NPI# 1508905209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508905209 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ICHNIOWSKI |
| Credential | P.T. |
| Practice Address |
2730 University Blvd W Suite 714 Wheaton MD 20902-1905 |
| Mailing Address |
10408 Huntley Ave Silver Spring MD 20902-3822 |
| Practice Telephone | 3019422520 |
| Practice Fax Number | 3019426998 |
| Mailing Telephone | 3016491558 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
14713 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BC BS | 612022-01 | 01 |
| Street Address |
2730 UNIVERSITY BLVD W SUITE 714 |
| City | WHEATON |
| State | MD |
| Zip Code | 20902-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812124 | Montgomery Foot and Ankle Associates | Podiatrist | 2730 University Blvd W, Suite 1000, Wheaton, MD 20902-1905 | 2005-06-23 |
| 1609395995 | Katelyn Weeks Mills | Physical Therapist | 2730 University Blvd W, Wheaton, MD 20902-1905 | 2017-09-18 |
| 1689027146 | Andrew Jeffrey Banks | Physical Therapy Assistant | 2730 University Blvd W, Suite 812, Wheaton, MD 20902-1905 | 2016-07-20 |
| 1346699345 | Carolina Gorordo | Physical Therapist | 2730 University Blvd W, Suite 714, Wheaton, MD 20902-1905 | 2016-06-09 |
| 1932555455 | Jason E Joubert | Physical Therapist | 2730 University Blvd W, Suite 310, Wheaton, MD 20902-1905 | 2016-05-13 |
| 1619343332 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2730 University Blvd W, Suite 1000, Wheaton, MD 20902-1905 | 2015-08-17 |
| 1619358439 | Matthew Bevacqua | Physical Therapist | 2730 University Blvd W, #812, Wheaton, MD 20902-1905 | 2015-06-17 |
| 1457738163 | Suburban/nrh Rehabilitation Hospital, Inc. | Physical Therapist | 2730 University Blvd W, Suite 812, Wheaton, MD 20902-1905 | 2015-05-01 |
| 1902295769 | Meghan Lewis | Physical Therapist | 2730 University Blvd W, Suite 310, Wheaton, MD 20902-1905 | 2015-01-16 |
| 1598164683 | Leah Bush | Physical Therapist | 2730 University Blvd W, Suite 812, Wheaton, MD 20902-1905 | 2014-08-14 |
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|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
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|---|---|---|---|---|
| 1992310247 | Direct Mobile Pt and Wellness, LLC | Physical Therapist | 0n553 Dorchester Ave, Wheaton, IL 60187-1709 | 2020-09-14 |
| 1376176859 | Benigno Abuesa Santos Jr | Physical Therapist | 11901 Georgia Ave, Wheaton, MD 20902-2001 | 2020-02-13 |
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| 1861916843 | Personal Touch Medical Spa LLP | Physical Therapist | 1450 Mercantile Lane Suite 221, Largo, MD 20774 | 2017-08-01 |
| 1740715168 | Olugbolahan Anifowose | Physical Therapist | 669 Wilbur Sq, Owings Mills, MD 21117-2479 | 2017-04-23 |
| 1720439714 | Margaret Henry | Physical Therapist | 5708 Stonington Ave, Baltimore, MD 21207-6859 | 2016-06-30 |
| 1255781407 | Rodel Dapul | Physical Therapist | 5500 Overlook Cir, White Marsh, MD 21162-3414 | 2016-06-20 |
| 1073926598 | Sheetal Khadsare | Physical Therapist | 8560 2nd Ave, Apt 1010, Silver Spring, MD 20910-6300 | 2014-06-03 |
| 1649600032 | April Hilario | Physical Therapist | 8433 Winding Trl, Laurel, MD 20724-1435 | 2013-11-20 |
| 1689002388 | Calice Warlock | Physical Therapist | 6951 Mayfair Ter, Laurel, MD 20707-5215 | 2013-10-16 |
| 1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
| 1629323894 | Onyango E Nyunja | Physical Therapist | 7808 Polara Pl, Rockville, MD 20855-2044 | 2012-07-13 |
| 1417263849 | Lakeisha Nicole Swan | Physical Therapist | 5106 Back Stretch Blvd, Upper Marlboro, MD 20772-2970 | 2010-08-23 |
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| 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.