Provider Demographics
NPI:1467025395
Name:HOT YOGA RIVERDALE
Entity Type:Organization
Organization Name:HOT YOGA RIVERDALE
Other - Org Name:BIKRAMYOGAWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKETT-DIBINHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-288-5745
Mailing Address - Street 1:6202 RHODE ISLAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1062
Mailing Address - Country:US
Mailing Address - Phone:301-699-1300
Mailing Address - Fax:
Practice Address - Street 1:6202 RHODE ISLAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:RIVERDALE PARK
Practice Address - State:MD
Practice Address - Zip Code:20737-1062
Practice Address - Country:US
Practice Address - Phone:301-699-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy