Provider Demographics
NPI:1134857873
Name:PHYSICAL PERFECTION, INCORPORATED
Entity type:Organization
Organization Name:PHYSICAL PERFECTION, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PFT, CPT, CAPT
Authorized Official - Phone:202-730-9300
Mailing Address - Street 1:1358 LEEGATE RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1301
Mailing Address - Country:US
Mailing Address - Phone:202-730-9300
Mailing Address - Fax:202-730-9301
Practice Address - Street 1:1358 LEEGATE RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1301
Practice Address - Country:US
Practice Address - Phone:202-730-9300
Practice Address - Fax:202-730-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No273Y00000XHospital UnitsRehabilitation Unit
No293D00000XLaboratoriesPhysiological Laboratory
No302R00000XManaged Care OrganizationsHealth Maintenance Organization