Healthcare Provider Details

I. General information

NPI: 1699591602
Provider Name (Legal Business Name): PT EDUCATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 LINDEN LN
SILVER SPRING MD
20910-1230
US

IV. Provider business mailing address

322 REDLAND BLVD
ROCKVILLE MD
20850-5845
US

V. Phone/Fax

Practice location:
  • Phone: 301-412-3481
  • Fax:
Mailing address:
  • Phone: 301-412-3481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. FARHAD OSTOVARI
Title or Position: CEO
Credential:
Phone: 301-412-3481