Healthcare Provider Details

I. General information

NPI: 1982765228
Provider Name (Legal Business Name): PHYSICAL MEDICINE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 WISCONSIN AVE NW SUITE 601
WASHINGTON DC
20015-2014
US

IV. Provider business mailing address

5225 WISCONSIN AVE NW SUITE 601
WASHINGTON DC
20015-2014
US

V. Phone/Fax

Practice location:
  • Phone: 202-364-6016
  • Fax: 202-237-2583
Mailing address:
  • Phone: 202-364-6016
  • Fax: 202-237-2583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT2445
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT870634
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12977
License Number StateDC

VIII. Authorized Official

Name: MR. DAN STORCK
Title or Position: PRESIDENT
Credential:
Phone: 202-237-7000