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 provides Physical Therapist services 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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