=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699664995
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RM PHYSICAL THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2025
-----------------------------------------------------
Last Update Date | 11/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13241 EXECUTIVE PARK TER
-----------------------------------------------------
City | GERMANTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20874-2648
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-277-6204
-----------------------------------------------------
Fax | 301-972-1068
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13240 EXECUTIVE PARK TER
-----------------------------------------------------
City | GERMANTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20874-2640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-277-6204
-----------------------------------------------------
Fax | 301-972-1068
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | DR. ARYA KHOSHKHOU
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 240-793-1090
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------