Healthcare Provider Details

I. General information

NPI: 1407085202
Provider Name (Legal Business Name): SPRINGS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST STE 302
SILVER SPRING MD
20910-3816
US

IV. Provider business mailing address

8630 FENTON ST STE 302
SILVER SPRING MD
20910-3816
US

V. Phone/Fax

Practice location:
  • Phone: 240-432-1642
  • Fax: 301-585-2002
Mailing address:
  • Phone: 301-585-2009
  • Fax: 301-585-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number20007
License Number StateMD

VIII. Authorized Official

Name: DR. NEGASSI KRISTOS SEYOUM
Title or Position: PRESIDENT
Credential: DPT
Phone: 301-585-2009