Provider Demographics
NPI:1871776898
Name:MASSET AC &PT CENTER
Entity type:Organization
Organization Name:MASSET AC &PT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MASSET
Authorized Official - Suffix:
Authorized Official - Credentials:PT,AC
Authorized Official - Phone:202-429-0007
Mailing Address - Street 1:1001 CONNECTICUT AVE NW
Mailing Address - Street 2:#1135
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5504
Mailing Address - Country:US
Mailing Address - Phone:202-429-0007
Mailing Address - Fax:
Practice Address - Street 1:1001 CONNECTICUT AVE NW
Practice Address - Street 2:#1135
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5504
Practice Address - Country:US
Practice Address - Phone:202-429-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2487261QP2000X
MD18405261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy