Provider Demographics
NPI:1376625715
Name:REFF, JODI S (PT)
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:S
Last Name:REFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JODY
Other - Middle Name:S
Other - Last Name:REFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:9908 ALDERSGATE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3705
Mailing Address - Country:US
Mailing Address - Phone:301-762-3435
Mailing Address - Fax:301-762-3436
Practice Address - Street 1:9908 ALDERSGATE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3705
Practice Address - Country:US
Practice Address - Phone:301-762-3435
Practice Address - Fax:301-762-3436
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19744225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD19744OtherSTATE PHYSICAL THERAPY LI