NOVA PHYSICAL THERAPY, LLC (NPI# 1568702371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568702371 |
| Entity Type | Organization |
| Organization Name | NOVA PHYSICAL THERAPY, LLC |
| Practice Address |
11154 Bunchberry Ct Waldorf MD 20601-2631 |
| Mailing Address |
8191 Strawberry Ln Suite # 6 Falls Church VA 22042-1031 |
| Practice Telephone | 3012660738 |
| Mailing Telephone | 3012660738 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | ASIYA AFTAB (PRESIDENT) |
| Authorized Official Telephone | 3012660738 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2305206276 | VA | Other Service Providers |
| Street Address |
11154 BUNCHBERRY CT |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538425384 | Ismaila Kolawole Odubena | Specialist | 4651 Pebbleshire Ct, Waldorf, MD 20602-4108 | 2012-04-05 |
| 1922374255 | Advanced Pain Management Specialists LLC | Specialist | 2960 Technology Pl, Suite 103, Waldorf, MD 20601-4966 | 2012-03-30 |
| 1710168836 | George H Wathen Md Pa | Specialist | Suite 103, 11345 Pembrooke Sq, Waldorf, MD 20603-4804 | 2007-11-16 |
| 1174627707 | Finizio - Radiology Imaging Associates, PC | Specialist | 11335 Pembrooke Sq, Ste 101, Waldorf, MD 20603 | 2006-09-12 |
| 1174568273 | Finizio - Radiology Imaging Assoicates, P.C. | Specialist | 11335 Pembrooke Sq Ste 101, Waldorf, MD 20603-4845 | 2006-06-20 |
| 1750358370 | Juliet Anadu | Specialist | 10 Saint Patricks Dr Ste 105, Waldorf, MD 20603-5527 | 2006-03-02 |
| 1770572042 | Henriot St Gerard | Specialist | 3510 Old Washington Road, Second Floor, Waldorf, MD 20603 | 2005-10-19 |
| 1528065653 | Joel Sewchand | Specialist | 3510 Old Washington Rd, Suite 201, Waldorf, MD 20602-3233 | 2005-07-05 |
| 1033456900 | Cardiology Associates, LLC | Specialist | 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 | 2013-01-11 |
| 1922323377 | Zafar A. Ansari Md Pa | Specialist | 7 Post Office Rd, Suite E, Waldorf, MD 20602-2744 | 2010-03-29 |
| Find all providers in WALDORF | ||||
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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.