OrganizationActive
Therapy Associates, LLC
NPI 1356759708 · Pediatric Rehabilitation Medicine Physician · Suitland, MD
Provider details
- NPI number
- 1356759708
- Entity type
- Organization
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Winfield White, President/ Owner(301) 241-0285
- License
- W14819064 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5625 Allentown Rd Ste 200
Suitland, MD 20746-4521
Phone: (301) 241-0285
Fax: (866) 588-4662
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Strausberg St
Accokeek, MD 20607
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.