Provider Demographics
NPI:1992177059
Name:JOGI, PANKAJ (PHD, PT)
Entity type:Individual
Prefix:MR
First Name:PANKAJ
Middle Name:
Last Name:JOGI
Suffix:
Gender:M
Credentials:PHD, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 YORK ROAD, SUITE 105
Mailing Address - Street 2:HEALTHPRO REHABILITATION
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-667-7200
Mailing Address - Fax:888-502-0873
Practice Address - Street 1:2131 O STREET
Practice Address - Street 2:BRINGTON WOODS AT DUPONT CIRCLE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-875-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2017-12-07
Deactivation Date:2016-06-01
Deactivation Code:
Reactivation Date:2017-12-07
Provider Licenses
StateLicense IDTaxonomies
DCPT871648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist