Provider Demographics
NPI:1962208710
Name:FIRST OPTION THERAPY SERVICES
Entity type:Organization
Organization Name:FIRST OPTION THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CHINYERE
Authorized Official - Last Name:MADUBUKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-334-1121
Mailing Address - Street 1:12902 OLD CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4616
Mailing Address - Country:US
Mailing Address - Phone:301-358-6458
Mailing Address - Fax:
Practice Address - Street 1:12902 OLD CHAPEL RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4616
Practice Address - Country:US
Practice Address - Phone:301-358-6458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST OPTION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy