MEDICARE: AFFINITY SPORTS & REHABILITAION PHYSICAL THERAPY

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	261QP2000X	Physical Therapy Clinic/Center	18131	MD

General Provider Information

NPI Number	:	1376536565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY SPORTS & REHABILITAION PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1105 SPRING ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4026
Country	:	US
Telephone Number	:	301-562-1116
Fax Number	:	301-562-1317

Provider Business Practice Location Address
First Line	:	1105 SPRING ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4026
Country	:	US
Telephone Number	:	301-562-1116
Fax Number	:	301-562-1317

Authorized Official
Title or Position	:	PHYSICAL THERAPIAT
Name	:	DERRICK ANTONIO MARTIN
Credential	:	PT
Telephone Number	:	301-562-1116

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1205918802 — DR. BELA SHESTOPALOVA M.D.
Practice Location Address:

1105 SPRING ST STE G
SILVER SPRING, MD
20910-4026

Practice Phone: 301-588-1181
Practice Fax: 301-588-0483

1124144704 — MS. PHYLLIS ANNETTE WILLIAMS
Practice Location Address:

1105 SPRING ST , STE H
SILVER SPRING, MD
20910-4026

Practice Phone: 301-562-1116
Practice Fax: 301-562-1317

1871891333 — GEORGE OLAYINKA
Practice Location Address:

1105 SPRING ST , SUITE H
SILVER SPRING, MD
20910-4026

Practice Phone: 301-562-1116
Practice Fax: 301-562-1317

1407568439 — ACHIEVE IT PHYSICAL THERAPY
Practice Location Address:

1105 SPRING ST STE H
SILVER SPRING, MD
20910-4026

Practice Phone: 301-326-2125
Practice Fax:

1295441962 — HENRY PADILLA
Practice Location Address:

1105 SPRING ST STE H
SILVER SPRING, MD
20910-4026

Practice Phone: 301-562-1116
Practice Fax:

1376425884 — CHRISTINE BOLTON
Practice Location Address:

10800 GOSLING RD UNIT 130515
SPRING, TX
77393-4026

Practice Phone: 832-205-8523
Practice Fax:

Directions to “AFFINITY SPORTS & REHABILITAION PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.