SPORTS PRO PHYSICAL THERAPY LLC. (NPI# 1932576378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932576378 |
| Entity Type | Organization |
| Organization Name | SPORTS PRO PHYSICAL THERAPY LLC. |
| Practice Address |
12200 Annapolis Rd #119 Glenn Dale MD 20769-9182 |
| Practice Telephone | 3018055006 |
| Practice Fax Number | 3018055004 |
| Mailing Telephone | 3018055006 |
| Mailing Fax Number | 3018055004 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | MR. DARYL ANDREW CLARKE (OWNER) |
| Authorized Official Telephone | 3018055006 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12200 ANNAPOLIS RD #119 |
| City | GLENN DALE |
| State | MD |
| Zip Code | 20769-9182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265472567 | Ikechi F Okwara | Internal Medicine | 12200 Annapolis Rd, Ste 316, Glenn Dale, MD 20769-9182 | 2006-06-07 |
| 1770982423 | Dominique Leary | Physical Therapist | 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 | 2014-08-19 |
| 1659795391 | Kelsi Davis | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2014-02-18 |
| 1023446002 | Wholistic Restorations LLC | Clinic/Center | 12200 Annapolis Rd, Suite 320, Glenn Dale, MD 20769-9182 | 2013-10-29 |
| 1124460621 | Advanced Eye Care Medical Center | Ophthalmology | 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182 | 2013-07-24 |
| 1962842401 | Phs Family Medicine Glenn Dale | General Acute Care Hospital | 12200 Annapolis Rd, Suite 118, Glenn Dale, MD 20769-9182 | 2013-06-28 |
| 1114362845 | Maryland Specialty Group LLC | Obstetrics & Gynecology | 12200 Annapolis Rd, Ste 123, Glenn Dale, MD 20769-9182 | 2013-05-08 |
| 1629317201 | Nikisha Gandhi | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2013-02-02 |
| 1891042578 | Sherri Crable | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2012-08-13 |
| 1255696647 | Nicole C Lawson | Occupational Therapist | 12200 Annapolis Rd, Suite 225, Glenn Dale, MD 20769-9182 | 2012-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023585676 | Ifeoma C Onyeiwu | Nurse Practitioner | Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 | 2018-10-31 |
| 1124593983 | Olivia Kaindaneh | Technician | 10809 Glandshire Dr, Glandale, MD 20769 | 2018-10-09 |
| 1154810505 | Cassie Leghu | Home Health Aide | 5108 Janesdale Court, Glenn Dale, MD 20769 | 2018-05-01 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1881957934 | Angela Teresa Dudley Hamilton | Counselor | 11415 Old Pond Drive, Glenn Dale, MD 20769 | 2012-06-22 |
| 1144597923 | Jaj Health Care Services,llc | Clinical Nurse Specialist | 12150 Annapolis Rd # 205, Glenndale, MD 20769 | 2011-11-22 |
| 1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
| 1972731867 | Linh Nguyen | Pharmacist | 10831 Lanham Severn Rd, Glenn Dale, MD 20769 | 2009-06-30 |
| 1417141557 | Sharon Evette Hawks | Nutritionist | 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 | 2007-08-31 |
| 1871715441 | Beth S Warner | Psychologist | 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 | 2007-05-03 |
| Find all providers in zip 20769 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932613106 | Ketaki Jairaj Jatar | Physical Therapist | 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | 2017-11-27 |
| 1083033856 | Robert Ninan | Physical Therapist | 12150 Annapolis Rd Ste 305, Glenn Dale, MD 20769-9183 | 2014-04-09 |
| 1689983124 | Robert E Metzger Jr. | Physical Therapist | 10917 Legend Manor Ln, Glenn Dale, MD 20769-2302 | 2010-10-01 |
| 1497780902 | Kamaldeen A Sanni | Physical Therapist | 9914 Harbor Ave, Glenn Dale, MD 20769-2119 | 2006-07-12 |
| 1699388835 | Enoh Okodiko | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 | 2020-08-27 |
| 1356953103 | Sangeeta Maharjan | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 | 2020-08-21 |
| 1396383709 | Nicolas Smith | Physical Therapist | 12150 Annapolis Rd, Glenn Dale, MD 20769-9183 | 2019-12-16 |
| 1144888694 | Cecilia Esther Campos | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 | 2019-05-30 |
| 1104330208 | Rachael Omole | Physical Therapist | 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | 2017-11-28 |
| 1770982423 | Dominique Leary | Physical Therapist | 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 | 2014-08-19 |
| Find all providers in GLENN DALE | ||||
| City | GLENN DALE |
| Zip Code | 20769 |
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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.