Provider Demographics
NPI:1669220216
Name:1-ON-1 PT, LLC
Entity type:Organization
Organization Name:1-ON-1 PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-466-6263
Mailing Address - Street 1:660 QUINCE ORCHARD RD # 1046
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1410
Mailing Address - Country:US
Mailing Address - Phone:240-466-6263
Mailing Address - Fax:
Practice Address - Street 1:516 BEUMONT RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904
Practice Address - Country:US
Practice Address - Phone:240-466-6263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy