Provider Demographics
NPI:1538932264
Name:SILVER SPRING BRIDGE TO CARE
Entity type:Organization
Organization Name:SILVER SPRING BRIDGE TO CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MOJDEH
Authorized Official - Middle Name:H
Authorized Official - Last Name:ILBEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-636-0887
Mailing Address - Street 1:1400 FOREST GLEN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1468
Mailing Address - Country:US
Mailing Address - Phone:301-636-0740
Mailing Address - Fax:
Practice Address - Street 1:1400 FOREST GLEN RD STE 200
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1468
Practice Address - Country:US
Practice Address - Phone:301-636-0740
Practice Address - Fax:301-636-0110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIDGING THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy