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NPI Code Detail

MEDICARE: LANDON WILLINGHAM DPT

MEDICARE:   LANDON  WILLINGHAM  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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1609704311
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANDON WILLINGHAM DPT
Provider Business Mailing Address
First Line : 401 MASSACHUSETTS AVE NW APT 1010
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-7666
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 H ST NW STE LL-110
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-5476
Country : US
Telephone Number : 202-347-2373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ LANDON WILLINGHAM DPT” Practice Location

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