Healthcare Provider Details

I. General information

NPI: 1427925080
Provider Name (Legal Business Name): ANTHONY HUNTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ATLANTIC ST SE
WASHINGTON DC
20032-3040
US

IV. Provider business mailing address

920 BELLEVUE ST SE
WASHINGTON DC
20032-6030
US

V. Phone/Fax

Practice location:
  • Phone: 202-562-4939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code226000000X
TaxonomyRecreational Therapist Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: