Provider Demographics
NPI:1346277217
Name:JONES, DARRYL NASH (MPT)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:NASH
Last Name:JONES
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 MORNINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2260
Mailing Address - Country:US
Mailing Address - Phone:301-232-1050
Mailing Address - Fax:
Practice Address - Street 1:3420 MORNINGWOOD DR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2260
Practice Address - Country:US
Practice Address - Phone:301-232-1050
Practice Address - Fax:301-223-1044
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD150644D87Medicare PIN