Healthcare Provider Details

I. General information

NPI: 1639989338
Provider Name (Legal Business Name): ACCORD PHYSIOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 12/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 HUNTERS GATE CT
SILVER SPRING MD
20904-1827
US

IV. Provider business mailing address

26 HUNTERS GATE CT
SILVER SPRING MD
20904-1827
US

V. Phone/Fax

Practice location:
  • Phone: 240-393-6455
  • Fax:
Mailing address:
  • Phone: 240-393-6455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TEODROS HAILU
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 240-393-6455