Healthcare Provider Details

I. General information

NPI: 1942635818
Provider Name (Legal Business Name): GREER C MACKIE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 10/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CONNECTICUT AVE NW STE 330
WASHINGTON DC
20036-5591
US

IV. Provider business mailing address

1001 CONNECTICUT AVE NW STE 330
WASHINGTON DC
20036-5591
US

V. Phone/Fax

Practice location:
  • Phone: 202-223-8500
  • Fax: 202-223-8300
Mailing address:
  • Phone: 202-223-8500
  • Fax: 202-223-8300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT871549
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: