Provider Demographics
NPI:1730479015
Name:ON DEMAND PT, INC.
Entity Type:Organization
Organization Name:ON DEMAND PT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:240-291-1429
Mailing Address - Street 1:24728 RED MAPLE RD SW
Mailing Address - Street 2:
Mailing Address - City:MCCOOLE
Mailing Address - State:MD
Mailing Address - Zip Code:21562-2233
Mailing Address - Country:US
Mailing Address - Phone:240-291-1429
Mailing Address - Fax:610-300-3200
Practice Address - Street 1:24728 RED MAPLE RD SW
Practice Address - Street 2:
Practice Address - City:MCCOOLE
Practice Address - State:MD
Practice Address - Zip Code:21562-2233
Practice Address - Country:US
Practice Address - Phone:240-291-1429
Practice Address - Fax:610-300-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty