MEDICARE: ZACHARY STANGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP051315T	DC
2	225100000X	Physical Therapist	30702	MD

General Provider Information

NPI Number	:	1023983186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY STANGO

Provider Business Mailing Address
First Line	:	1500 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1460
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1460
Country	:	US
Telephone Number	:	301-754-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	02/14/2026

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Directions to “ ZACHARY STANGO ” Practice Location

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