Healthcare Provider Details

I. General information

NPI: 1104741685
Provider Name (Legal Business Name): CHLOE MORAKIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15204 OMEGA DR STE 310
ROCKVILLE MD
20850-4816
US

IV. Provider business mailing address

15204 OMEGA DR STE 310
ROCKVILLE MD
20850-4816
US

V. Phone/Fax

Practice location:
  • Phone: 240-361-9000
  • Fax: 240-361-9001
Mailing address:
  • Phone: 240-361-9000
  • Fax: 240-361-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30972
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: