Provider Demographics
NPI:1205939451
Name:IN TOUCH PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:IN TOUCH PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:301-593-8668
Mailing Address - Street 1:344 UNIVERSITY BLVD W STE 210
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1970
Mailing Address - Country:US
Mailing Address - Phone:301-593-8668
Mailing Address - Fax:301-593-5268
Practice Address - Street 1:344 UNIVERSITY BLVD W STE 210
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1970
Practice Address - Country:US
Practice Address - Phone:301-593-8668
Practice Address - Fax:301-593-5268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01308Medicare ID - Type Unspecified
P97181Medicare UPIN