Provider Demographics
NPI:1477123370
Name:NEUFORM PHYSIOTHERAPY LLC
Entity type:Organization
Organization Name:NEUFORM PHYSIOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RINKU
Authorized Official - Middle Name:
Authorized Official - Last Name:KURIL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, ECS, RMSK
Authorized Official - Phone:410-883-7208
Mailing Address - Street 1:9210 CORPORATE BLVD STE 345
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9210 CORPORATE BLVD STE 345
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6550
Practice Address - Country:US
Practice Address - Phone:301-246-8880
Practice Address - Fax:301-246-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1972844611OtherNPPES