Healthcare Provider Details

I. General information

NPI: 1841715133
Provider Name (Legal Business Name): BMH PT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 08/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 14TH ST NW STE 1206
WASHINGTON DC
20045-2200
US

IV. Provider business mailing address

529 14TH ST NW STE 1206
WASHINGTON DC
20045-2200
US

V. Phone/Fax

Practice location:
  • Phone: 202-999-9283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT871872
License Number StateDC

VIII. Authorized Official

Name: YOUNGJU HONG
Title or Position: PRESIDENT
Credential: DPT
Phone: 202-999-9283