MEDICARE: MAYA AWOKE

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	30546	MD

General Provider Information

NPI Number	:	1235017583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA AWOKE

Provider Business Mailing Address
First Line	:	3901 NATIONAL DR STE 100
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1176
Country	:	US
Telephone Number	:	301-421-1125
Fax Number	:	301-500-2175

Provider Business Practice Location Address
First Line	:	3901 NATIONAL DR STE 100
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1176
Country	:	US
Telephone Number	:	301-421-1125
Fax Number	:	301-500-2175

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

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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Directions to “ MAYA AWOKE ” Practice Location

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