Healthcare Provider Details

I. General information

NPI: 1528516101
Provider Name (Legal Business Name): NATIONAL THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 SHIELDS DR
BETHESDA MD
20817-3571
US

IV. Provider business mailing address

412 1ST ST SE LOWER LEVEL REAR ENTRANCE
WASHINGTON DC
20003-1804
US

V. Phone/Fax

Practice location:
  • Phone: 301-493-0023
  • Fax:
Mailing address:
  • Phone: 202-470-4185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: SABRA GELFOND
Title or Position: PRESIDENT
Credential:
Phone: 202-470-4185