Provider Demographics
NPI:1083743934
Name:COMPREHENSIVE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:301-929-0688
Mailing Address - Street 1:10605 CONCORD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2504
Mailing Address - Country:US
Mailing Address - Phone:301-929-0688
Mailing Address - Fax:301-946-9164
Practice Address - Street 1:10605 CONCORD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2504
Practice Address - Country:US
Practice Address - Phone:301-929-0688
Practice Address - Fax:301-946-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0498283OtherAETNA HMO
MDKE95OtherCAREFIRST MARYLAND
1340271OtherUNITED HEALTHCARE
4514563OtherAETNA PPO
4514563OtherAETNA PPO