Healthcare Provider Details

I. General information

NPI: 1669410759
Provider Name (Legal Business Name): ACCESSIBLE PHYSICAL THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8717 GREENBELT RD STE 101
GREENBELT MD
20770
US

IV. Provider business mailing address

PO BOX 74008600
CHICAGO IL
60674-8660
US

V. Phone/Fax

Practice location:
  • Phone: 301-552-8700
  • Fax: 301-313-8228
Mailing address:
  • Phone: 410-970-8180
  • Fax: 410-313-8228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RAJEEV GUPTA
Title or Position: CEO
Credential:
Phone: 301-552-0175