MEDICARE: FOCUSED 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	225100000X	Physical Therapist	22974	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649649500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUSED PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	10750 COLUMBIA PIKE STE 310
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4453
Country	:	US
Telephone Number	:	301-658-6353
Fax Number	:	301-576-4550

Provider Business Practice Location Address
First Line	:	10750 COLUMBIA PIKE STE 310
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
Country	:	US
Telephone Number	:	301-658-6353
Fax Number	:	301-576-4550

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SAMUEL C HAMOU
Credential	:	DPT
Telephone Number	:	301-658-6353

Provider Enumeration Date	:	09/22/2015
Last Update Date	:	12/03/2019

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Directions to “FOCUSED PHYSICAL THERAPY ” Practice Location

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