MEDICARE: MOHAN JOSHI DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	27882	MD

General Provider Information

NPI Number	:	1124654488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAN JOSHI DPT

Provider Business Mailing Address
First Line	:	5454 WISCONSIN AVE STE 1535
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6922
Country	:	US
Telephone Number	:	301-657-7851
Fax Number	:	240-800-3423

Provider Business Practice Location Address
First Line	:	5454 WISCONSIN AVE STE 1535
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6922
Country	:	US
Telephone Number	:	301-657-7851
Fax Number	:	240-800-3423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	05/01/2020

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