Provider Demographics
NPI:1619985223
Name:METRO ORTHOPEDICS AND SPORTS THERAPY
Entity Type:Organization
Organization Name:METRO ORTHOPEDICS AND SPORTS THERAPY
Other - Org Name:MOST
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-588-5788
Mailing Address - Street 1:8401 COLESVILLE RD STE 50
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3387
Mailing Address - Country:US
Mailing Address - Phone:301-588-5788
Mailing Address - Fax:301-588-3419
Practice Address - Street 1:8401 COLESVILLE RD STE 50
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3387
Practice Address - Country:US
Practice Address - Phone:301-588-5788
Practice Address - Fax:301-588-3419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409595Medicare PIN