Healthcare Provider Details

I. General information

NPI: 1447047691
Provider Name (Legal Business Name): MCS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13717 HARVEST GLEN WAY
GERMANTOWN MD
20874-6256
US

IV. Provider business mailing address

13717 HARVEST GLEN WAY
GERMANTOWN MD
20874-6256
US

V. Phone/Fax

Practice location:
  • Phone: 201-680-9926
  • Fax:
Mailing address:
  • Phone: 516-851-8035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ARYA KHOSHKHOU
Title or Position: AUTHORIZED OFFICIAL
Credential: PHD
Phone: 240-793-1090