Provider Demographics
NPI:1972507515
Name:CHASE, TARIK RASHAD (PT)
Entity Type:Individual
Prefix:MR
First Name:TARIK
Middle Name:RASHAD
Last Name:CHASE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 V ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1411
Mailing Address - Country:US
Mailing Address - Phone:202-425-8245
Mailing Address - Fax:
Practice Address - Street 1:1501 HARRY THOMAS WAY NE
Practice Address - Street 2:STE A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4361
Practice Address - Country:US
Practice Address - Phone:202-481-2795
Practice Address - Fax:202-481-2793
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT200001255225100000X
MD20977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist