Provider Demographics
NPI:1730870510
Name:RELEASE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:RELEASE PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:202-974-6621
Mailing Address - Street 1:2134 L ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1523
Mailing Address - Country:US
Mailing Address - Phone:202-974-6621
Mailing Address - Fax:202-974-6604
Practice Address - Street 1:2134 L ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1523
Practice Address - Country:US
Practice Address - Phone:202-974-6621
Practice Address - Fax:202-974-6604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy