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GREEN TREE THERAPEUTICS LLC NPI 1801019088


NPI Information

NPI: 1801019088
Provider Name: GREEN TREE THERAPEUTICS LLC

Doing Business As: WHITE OAK PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER

Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
11120 NEW HAMPSHIRE AVE
SUITE 506
SILVER SPRING, MD
ZIP 20904
Phone: (301) 592-8200
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GREEN TREE THERAPEUTICS LLC is a rehabilitation practitioner in Silver Spring, MD. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. GREEN TREE THERAPEUTICS LLC NPI is 1801019088. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As White Oak Physical Therapy And Pain Management Center.

The provider's business location address is:

11120 NEW HAMPSHIRE AVE
SUITE 506
SILVER SPRING, MD
ZIP 20904-633
Phone: (301) 592-8200
Fax: (301) 592-8300

The provider's authorized official is David Michael Bullock .
The authorized official title is Founder & Chairman and has the following contact phone number (301) 592-8200.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation PractitionerPT870409DISTRICT OF COLUMBIANo
2225400000XRehabilitation Practitioner21045MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G02601MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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