Provider Demographics
NPI:1407085202
Name:SPRINGS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:SPRINGS PHYSICAL THERAPY
Other - Org Name:SPRING NET PHYSICAL THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEGASSI
Authorized Official - Middle Name:KRISTOS
Authorized Official - Last Name:SEYOUM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-432-1642
Mailing Address - Street 1:8630 FENTON ST STE 302
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3816
Mailing Address - Country:US
Mailing Address - Phone:301-585-2009
Mailing Address - Fax:301-585-2002
Practice Address - Street 1:8630 FENTON ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3806
Practice Address - Country:US
Practice Address - Phone:240-432-1642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20007261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy