1679652549 NPI number — MS. PAULA KIM WARNSMAN PT, MPT, DPT

Table of content: MS. PAULA KIM WARNSMAN PT, MPT, DPT (NPI 1679652549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679652549 NPI number — MS. PAULA KIM WARNSMAN PT, MPT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARNSMAN
Provider First Name:
PAULA
Provider Middle Name:
KIM
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT, MPT, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KIM
Provider Other First Name:
PAULA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1679652549
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1738 ELTON RD
Provider Second Line Business Mailing Address:
#230
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20903-1725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-434-1980
Provider Business Mailing Address Fax Number:
301-312-6948

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1738 ELTON RD
Provider Second Line Business Practice Location Address:
#230
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20903-1725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-434-1980
Provider Business Practice Location Address Fax Number:
301-312-6948
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  21714 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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