Provider Demographics
NPI:1942360102
Name:PHYSICAL THERAPY AND SPORTS MEDICINE BINH M. TRAN PT, INC.
Entity Type:Organization
Organization Name:PHYSICAL THERAPY AND SPORTS MEDICINE BINH M. TRAN PT, INC.
Other - Org Name:PHYSICAL THERAPY AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BINH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:202-223-6371
Mailing Address - Street 1:PO BOX 908
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-0908
Mailing Address - Country:US
Mailing Address - Phone:202-223-6371
Mailing Address - Fax:202-223-6373
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-223-6371
Practice Address - Fax:202-223-6373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00261Medicare ID - Type UnspecifiedPHYSICAL THERAPY