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General NPI Number Information
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NPI Number | 1982765228
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Entity Type | Organization
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Legal Business Name | PHYSICAL MEDICINE ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5225 WISCONSIN AVE NW SUITE 601
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City | WASHINGTON
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State | DC
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Zip | 20015-2014
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Country | US
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Telephone | 202-364-6016
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Fax | 202-237-2583
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Provider Business Mailing Address
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Address Line | 5225 WISCONSIN AVE NW SUITE 601
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City | WASHINGTON
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State | DC
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Zip | 20015-2014
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Country | US
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Telephone | 202-364-6016
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Fax | 202-237-2583
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAN STORCK
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Credential |
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Telephone | 202-237-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT2445
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT870634
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12977
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License Number State | DC
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