Provider Demographics
NPI:1043230147
Name:SILVERSTEIN, IRA N (PT)
Entity Type:Individual
Prefix:MR
First Name:IRA
Middle Name:N
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 PENNSYLVANIA AVE NW
Mailing Address - Street 2:SUITE LL-100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1730
Mailing Address - Country:US
Mailing Address - Phone:202-293-1125
Mailing Address - Fax:202-833-3353
Practice Address - Street 1:2401 PENNSYLVANIA AVE NW
Practice Address - Street 2:SUITE LL-100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1730
Practice Address - Country:US
Practice Address - Phone:202-293-1125
Practice Address - Fax:202-833-3353
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC7402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC588531Medicare UPIN