Healthcare Provider Details

I. General information

NPI: 1447285846
Provider Name (Legal Business Name): JEFFERY RICHARD ROBINSON PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW SUITE 322
WASHINGTON DC
20037-1404
US

IV. Provider business mailing address

1309 RIGGS ST NW
WASHINGTON DC
20009-4324
US

V. Phone/Fax

Practice location:
  • Phone: 202-659-2673
  • Fax: 202-659-0797
Mailing address:
  • Phone: 202-332-2139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT870261
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: