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General NPI Number Information
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NPI Number | 1124812359
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Entity Type | Organization
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Legal Business Name | APPLIED PERFORMANCE AND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 25 MASSACHUSETTS AVE NW STE C500
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City | WASHINGTON
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State | DC
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Zip | 20001-5562
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Country | US
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Telephone | 202-808-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 H ST NW STE LL110
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City | WASHINGTON
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State | DC
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Zip | 20005-5476
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Country | US
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Telephone | 202-808-9496
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY LEININGER
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Credential | PT, DPT
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Telephone | 717-371-4947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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