Basic Information
| Provider Information | |||||||||
| NPI: | 1942360102 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSICAL THERAPY AND SPORTS MEDICINE BINH M. TRAN PT, INC. | ||||||||
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| OtherOrganizationName: | PHYSICAL THERAPY AND SPORTS MEDICINE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 908 | ||||||||
| Address2: | |||||||||
| City: | GREAT FALLS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 220660908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022236371 | ||||||||
| FaxNumber: | 2022236373 | ||||||||
| Practice Location | |||||||||
| Address1: | 2021 K ST NW | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200061003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022236371 | ||||||||
| FaxNumber: | 2022236373 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2006 | ||||||||
| LastUpdateDate: | 10/03/2012 | ||||||||
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| AuthorizedOfficialLastName: | TRAN | ||||||||
| AuthorizedOfficialFirstName: | BINH | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2022236371 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | P.T. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.