Provider Demographics
NPI:1679652549
Name:WARNSMAN, PAULA KIM (PT, MPT, DPT)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:KIM
Last Name:WARNSMAN
Suffix:
Gender:F
Credentials:PT, MPT, DPT
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1738 ELTON RD
Mailing Address - Street 2:#230
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1725
Mailing Address - Country:US
Mailing Address - Phone:301-434-1980
Mailing Address - Fax:301-312-6948
Practice Address - Street 1:1738 ELTON RD
Practice Address - Street 2:#230
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1725
Practice Address - Country:US
Practice Address - Phone:301-434-1980
Practice Address - Fax:301-312-6948
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD02149E71Medicare PIN