Organization · Type 2 NPI

Physical Therapy and Pain Management Center LLC

Rehabilitation Clinic/Center · Riverdale Park, MD

NPI number 1982337424 Active

Practice location

4595 Van Buren St Ste 210
Riverdale Park, MD 20737-1080

Fax (301) 864-0012

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	None listed
Rehabilitation Clinic/Center Primary	261QR0400X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Customized Equipment (DME)	332BC3200X	None listed

Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1982337424
Entity type: Organization (Type 2)
Issued: Jul 1, 2022
Last updated: Jan 30, 2023
Status: Active
Subpart: Yes of Physical Therapy and Pain Management Center LLC

Other names

<unavail>
College Park Physical Therapy & Hand Rehabilitation · doing business as
College Park Physical Therapy & Hand Rehabilitation · doing business as

Authorized official

Mr. David Michael Bullock, P.T.
Founder
(301) 592-8200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982337424

Physical Therapy and Pain Management Center LLC's National Provider Identifier is 1982337424, issued on Jul 1, 2022. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Riverdale Park, MD. The record was last updated on Jan 30, 2023.