NPI 1053680314 · live from the CMS NPI Registry
Miriam E Bovich, PT
Physical Therapist, Sports in Washington, DC. National Provider Identifier 1053680314, active.
NPI record
| NPI | 1053680314 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Sports 2251S0007X |
| Practice location | 1120 20th St Nw Ste 116, Washington, DC 20036 |
| Practice phone | 202-416-2110 |
| Mailing address | 20410 Century Blvd, Nrh Regional Rehab - Suite 215, Germantown, MD 20874 |
| Enumerated | December 15, 2011 |
| Last updated | February 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 23883 (MD) |
| Physical Therapist, Sports | 2251S0007X | 2305210021 (VA) |
| Physical Therapist, Sports primary | 2251S0007X | 871323 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.