Healthcare Provider Details

I. General information

NPI: 1053228510
Provider Name (Legal Business Name): DEEBA MEHRAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKLEDGE DR STE 600
BETHESDA MD
20817-1844
US

IV. Provider business mailing address

6410 ROCKLEDGE DR STE 600
BETHESDA MD
20817-1844
US

V. Phone/Fax

Practice location:
  • Phone: 301-581-8030
  • Fax:
Mailing address:
  • Phone: 301-581-8030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217970
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: