Provider Demographics
NPI:1568124394
Name:OASIS PT & PELVIC HEALTH, L.L.C.
Entity type:Organization
Organization Name:OASIS PT & PELVIC HEALTH, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WORTHY-OKOLO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:301-381-4551
Mailing Address - Street 1:4401 E WEST HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4541
Mailing Address - Country:US
Mailing Address - Phone:301-381-4551
Mailing Address - Fax:
Practice Address - Street 1:4401 E WEST HWY STE 202
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4541
Practice Address - Country:US
Practice Address - Phone:301-381-4551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-08
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy