1760872410 NPI number — PHYSICAL MEDICINE ASSOCIATES, LTD

Table of content: (NPI 1760872410)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760872410 NPI number — PHYSICAL MEDICINE ASSOCIATES, LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHYSICAL MEDICINE ASSOCIATES, LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760872410
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 931656
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31193-1656
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-836-7246
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1750 TYSONS BLVD STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC LEAN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22102-4227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-714-7178
Provider Business Practice Location Address Fax Number:
703-288-0214
Provider Enumeration Date:
02/03/2015

Additional Information

Authorized Official

Authorized Official Last Name:
FRIDELIS
Authorized Official First Name:
MAYO
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
703-914-8000

Provider Taxonomy Codes

  • Taxonomy code: 2081P2900X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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