Healthcare Provider Details

I. General information

NPI: 1851146245
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 CRAIN HWY STE 101
LA PLATA MD
20646-4950
US

IV. Provider business mailing address

PO BOX 3250
WINCHESTER VA
22604-2450
US

V. Phone/Fax

Practice location:
  • Phone: 240-685-2925
  • Fax: 301-882-9734
Mailing address:
  • Phone: 540-545-1055
  • Fax: 540-678-9025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RISHI BHATNAGAR
Title or Position: CEO
Credential: MD
Phone: 301-498-0383