Provider Demographics
NPI:1225587538
Name:OASIS THERAPY
Entity Type:Organization
Organization Name:OASIS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETHU
Authorized Official - Middle Name:
Authorized Official - Last Name:THYPARAMBIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:501-231-6159
Mailing Address - Street 1:3960 BRAVEHEART CIR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7743
Mailing Address - Country:US
Mailing Address - Phone:501-231-6159
Mailing Address - Fax:240-830-6050
Practice Address - Street 1:198 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 19
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4398
Practice Address - Country:US
Practice Address - Phone:501-231-6159
Practice Address - Fax:240-830-6050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty