Healthcare Provider Details

I. General information

NPI: 1770949547
Provider Name (Legal Business Name): ROBIN TACCHETTI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 HENNESSY TER
SANDY SPRING MD
20860-1201
US

IV. Provider business mailing address

1320 HENNESSY TER
SANDY SPRING MD
20860-1201
US

V. Phone/Fax

Practice location:
  • Phone: 301-460-7388
  • Fax:
Mailing address:
  • Phone: 301-460-7388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19887
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberCP022884T
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: