MEDICARE: MIDNIGHT LEGAL, INC

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	225X00000X	Occupational Therapist	OT010000423	DC
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1437527843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDNIGHT LEGAL, INC

Provider Business Mailing Address
First Line	:	11370 KING GEORGE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4400
Country	:	US
Telephone Number	:	540-303-3995
Fax Number	:	202-204-5860

Provider Business Practice Location Address
First Line	:	11370 KING GEORGE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4400
Country	:	US
Telephone Number	:	540-303-3995
Fax Number	:	202-204-5860

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ORIT SIMHONI
Credential	:	PHD, OTR/L
Telephone Number	:	540-303-3995

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	09/02/2015

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Directions to “MIDNIGHT LEGAL, INC ” Practice Location

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