Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4140 Old Washington Highway Operations LLC

Organization Physical Therapist · NPI 1740634120

4140 Old Washington Highway Operations LLC is a Physical Therapist in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4140 Old Washington Rd
Waldorf, MD 20602-3221
Phone: (301) 645-2813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 08006 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 08006 (MD)

Record details

NPI number1740634120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Assistant Secretary · (505) 468-4752
Other names Waldorf Center
NPI enumeratedApril 21, 2016
Last updated in NPPESSeptember 7, 2017
Mailing address4140 Old Washington Rd, Waldorf, MD 20602-3221

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