Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SPORT AND SPINE REHAB OF CHEVY CHASE
Active
Organization
SPORT AND SPINE REHAB OF CHEVY CHASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P THIBODEAUX PT (DOCTOR)
(240) 766-0300
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, CHEVY CHASE, MD 20815-4404
(301) 986-1701
(240) 766-0304
Mailing address
11418 LIVINGSTON RD, FT WASHINGTON, MD 20744-5145
(240) 766-0300
(240) 766-0304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22286
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700SP
BCBS OF MD
MD
01
—
718214
ACN
MD
01
—
A518
BCBS NCA
DC
Enumeration date
08/26/2008
Last updated
08/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up