Provider Demographics
NPI:1659774867
Name:JASON DRING REHAB AND WELLNESS
Entity Type:Organization
Organization Name:JASON DRING REHAB AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:BASCOM
Authorized Official - Last Name:DRING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:202-459-4594
Mailing Address - Street 1:4125 ALBEMARLE ST NW
Mailing Address - Street 2:#101E
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2105
Mailing Address - Country:US
Mailing Address - Phone:202-459-4594
Mailing Address - Fax:202-558-4381
Practice Address - Street 1:4125 ALBEMARLE ST NW
Practice Address - Street 2:#101E
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2105
Practice Address - Country:US
Practice Address - Phone:202-459-4594
Practice Address - Fax:202-558-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870947261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy