SPARK MOTION PT LLC (NPI# 1649609017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649609017 |
| Entity Type | Organization |
| Organization Name | SPARK MOTION PT LLC |
| Practice Address |
5420 Butler Rd Suite 102 Bethesda MD 20816-1506 |
| Practice Telephone | 2404608983 |
| Practice Fax Number | 2404971464 |
| Mailing Telephone | 2404608983 |
| Mailing Fax Number | 2404971464 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | PATRICK THOMAS KENNELLY (OWNER) |
| Authorized Official Telephone | 2404608983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 20227 | MD | Other Service Providers |
| Street Address |
5420 BUTLER RD SUITE 102 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073619532 | Patrick Kennelly | Specialist | 5420 Butler Rd, Suite 102, Bethesda, MD 20816-1506 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| 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 |
|---|---|---|---|---|
| 1467063628 | Carlos Eduardo Guillen Garrido Sr. | Specialist | 10221 Arizona Cir, Bethesda, MD 20817-1227 | 2020-08-12 |
| 1841834363 | Jennifer Margarita Cuellar Rodriguez | Specialist | 10 Center Dr Bldg 10 11n248, Bethesda, MD 20892-0001 | 2019-10-29 |
| 1144773235 | Jintanat Ananworanich | Specialist | 6720a Rockledge Dr Ste 400, Bethesda, MD 20817-1892 | 2016-07-26 |
| 1710346721 | Therese Mcnerney | Specialist | 6550 Rock Spring Dr, 155, Bethesda, MD 20817-1132 | 2016-02-18 |
| 1366820417 | John Rae Wunderlich | Specialist | Rm 3w 5750 Bldg 10crc, Nih; 10 Center Drive, Bethesda, MD 20892-1201 | 2015-05-09 |
| 1417344367 | Jonathan Killian | Specialist | Nih Nci 37 Convent Dr Rm 6138, Bethesda, MD 20892-0001 | 2015-04-17 |
| 1326444928 | Paula Einhorn | Specialist | 5208 Iroquois Rd, Bethesda, MD 20816-3101 | 2014-11-08 |
| 1851704068 | Willie James Haynes | Specialist | 5231 Massachusetts Ave, Bethesda, MD 20816-2702 | 2014-06-05 |
| 1417379181 | David Frank Stroncek | Specialist | Department of Transfusion Medicine, 10 Center Drive-msc-1184, Bethesda, MD 20892-1184 | 2014-01-14 |
| 1366871303 | Karen Goldenthal | Specialist | 5015 Battery Lane, Suite 606, Bethesda, MD 20814-2623 | 2013-11-08 |
| Find all providers in BETHESDA | ||||
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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.