Organization
EVIDENCE PHYSICAL THERAPY, LLC
Active
Other names
EvidencePT
Organization subpart
No
Provider details
NPI number
Authorized official
HASSANA MOSES SHRM-CP (PRACTICE ADMINISTRATOR)
(301) 352-8370
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769-9183
(301) 352-8370
(301) 352-8372
Mailing address
12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769-9183
(301) 352-8370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533704600
—
MD
05
—
533704601
—
MD
01
—
616235300
DEPARTMENT OF LABOR
MD
Enumeration date
06/13/2022
Last updated
06/13/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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