Provider Demographics
NPI:1033578497
Name:LEVEL PHYSICAL THERAPY
Entity Type:Organization
Organization Name:LEVEL PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSAND
Authorized Official - Middle Name:CRISPO
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:301-887-7988
Mailing Address - Street 1:8200 COLSTON PL
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3032
Mailing Address - Country:US
Mailing Address - Phone:301-887-7988
Mailing Address - Fax:
Practice Address - Street 1:8200 COLSTON PL
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3032
Practice Address - Country:US
Practice Address - Phone:301-887-7988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-14
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19954225100000X
DC870251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty