Provider Demographics
NPI:1194103432
Name:ADVANCED NEURO & ORTHOPEDIC PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:ADVANCED NEURO & ORTHOPEDIC PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAZIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORIOM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:301-768-8337
Mailing Address - Street 1:12800 MIDDLEBROOK RD STE 420
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5284
Mailing Address - Country:US
Mailing Address - Phone:301-768-8337
Mailing Address - Fax:
Practice Address - Street 1:12800 MIDDLEBROOK RD
Practice Address - Street 2:SUITE 420
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5204
Practice Address - Country:US
Practice Address - Phone:301-509-9043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty