METRO SPORTS AND REHAB, LLC (NPI# 1629570619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570619 |
| Entity Type | Organization |
| Organization Name | METRO SPORTS AND REHAB, LLC |
| Practice Address |
700 19th St Nw Rm O-711 Washington DC 20431-0001 |
| Mailing Address |
22564 Winding Woods Way Clarksburg MD 20871-3341 |
| Practice Telephone | 5713930030 |
| Practice Fax Number | 2023800508 |
| Mailing Telephone | 5713930030 |
| Mailing Fax Number | 2023800508 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. CHIN-WAN CHO (OWNER) |
| Authorized Official Telephone | 5713930030 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | S03573 | MD | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CH030135 | DC | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22564 Winding Woods Way, Clarksburg, MD 208713341 | 5713930030 | 2023800508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748517 | Metro Sports and Rehab, LLC | Chiropractor | 1712 I St Nw Ste 503, Washington, DC 20006-3702 | 2015-04-29 |
| Street Address |
700 19TH ST NW RM O-711 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| Find all providers in WASHINGTON | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696683 | Kelly Ann Kimball | Chiropractor | 2450 Virginia Ave Nw Apt E619, Washington, DC 20037-2667 | 2020-10-14 |
| 1497353676 | Alexander Ruth | Chiropractor | 650 Pennsylvania Ave Se Ste 470, Washington, DC 20003-4412 | 2020-10-11 |
| 1629694526 | Razieh Shoorab | Chiropractor | 1712 I St Nw Ste 110, Washington, DC 20006-3702 | 2020-06-17 |
| 1093289373 | Finn Chiropractic Washington Pllc | Chiropractor | 382 W Chestnut St Ste 103, Washington, PA 15301-4642 | 2019-01-19 |
| 1902392384 | Daniel James Osborn | Chiropractor | 1444 I St Nw Ste Ll, Washington, DC 20005-2216 | 2018-07-09 |
| 1487141198 | Megan Rebecca Hullihen | Chiropractor | 4708 Wisconsin Ave Nw Ste 101, Washington, DC 20016-4644 | 2018-04-18 |
| 1528562428 | Lauren Grace Moss | Chiropractor | 1385 Washington Rd Ste 100, Washington, PA 15301-9674 | 2018-03-23 |
| 1295233583 | Alpha Chiropractic, Pllc | Chiropractor | 610 W 15th St Ste 10, Washington, NC 27889-3527 | 2018-02-01 |
| 1275045080 | Elite Healthcare Southern Utah LLC | Chiropractor | 568 W Telegraph St Ste 4, Washington, UT 84780-1206 | 2017-11-02 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20431 |
Please comment or provide details below to improve the information on METRO SPORTS AND REHAB, 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.