Provider Demographics
NPI:1962090381
Name:ICAN OT, L.L.C.
Entity type:Organization
Organization Name:ICAN OT, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OT, R/L
Authorized Official - Phone:301-928-2407
Mailing Address - Street 1:1208 N BELGRADE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3024
Mailing Address - Country:US
Mailing Address - Phone:301-928-2407
Mailing Address - Fax:
Practice Address - Street 1:1208 N BELGRADE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3024
Practice Address - Country:US
Practice Address - Phone:301-928-2407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-03
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Single Specialty