Provider Demographics
NPI:1164511663
Name:BEHRENDS, ANN KATHLEEN (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KATHLEEN
Last Name:BEHRENDS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 APPLESEED LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2802
Mailing Address - Country:US
Mailing Address - Phone:240-888-2180
Mailing Address - Fax:301-762-6646
Practice Address - Street 1:1010 WAYNE AVE STE 410
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5655
Practice Address - Country:US
Practice Address - Phone:240-600-0177
Practice Address - Fax:855-570-3808
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPT16205225100000X
MDPT #16204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist