# PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Oak Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538282827
- **Authorized official:** MR. DAVID MICHAEL BULLOCK P.T. (FOUNDER)
- **Authorized official phone:** (301) 592-8200

## Contact information

- **Practice address:** 11120 NEW HAMPSHIRE AVE, SUITE 200, SILVER SPRING, MD 20904-2633
- **Practice address phone:** (301) 592-8200
- **Practice address fax:** (301) 592-8300
- **Mailing address:** 11120 NEW HAMPSHIRE AVE, SUITE 200, SILVER SPRING, MD 20904-2633
- **Mailing address phone:** (301) 592-8200
- **Mailing address fax:** (301) 592-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 21045 | MD | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | 870427 | DC | — |
| 261QR0400X | Rehabilitation Clinic/Center | PT870409 | DC | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 01/17/2024