Active NPIIndividual provider

Dr. Stanley C Aguh, DPT

Physical Therapist in College Park, Maryland

NPI Number1194369967
Practice location
4511 Knox RD Ste 102, College Park, MD 20740-3380
Fax
301-277-6618
Last updated
September 28, 2023

Stanley C Aguh is a Physical Therapist based in College Park, MD. Stanley C Aguh practices in College Park, MD and has the professional credentials of DPT. The NPI Number for Stanley C Aguh is 1194369967 and holds a License No. 12512 (CT). The current practice location address for Stanley C Aguh is 4511 Knox RD Ste 102, College Park, MD 20740-3380 and can be reached out via phone at 301-277-6616 and via fax at 301-277-6618.

Provider Profile Details

NPI Number
1194369967
Provider Name
Stanley C Aguh
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
4511 Knox RD Ste 102, College Park, MD 20740-3380
Phone Number
301-277-6616
Fax Number
301-277-6618
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2019
Last Update Date
September 28, 2023
Certification Date
September 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4511 Knox RD Ste 102
College Park, MD 20740-3380
Zip
20740-3380
Phone Number
301-277-6616
Fax Number
301-277-6618
College Park, MD 20740Get directions →

Provider Business Mailing Address Details

Address
275 Middle Tpke W
Manchester, CT 06040-3834
City
Manchester
State
CT
Zip
06040-3834
Phone Number
860-533-0356
Fax Number
860-533-9792

License Information

License Number (1)
12512
License State (1)
CT
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
29602
License State (2)
MD
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stanley C Aguh, DPT?

The NPI number of Dr. Stanley C Aguh, DPT is 1194369967. It was assigned on November 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Stanley C Aguh, DPT?

Dr. Stanley C Aguh, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 12512.

Where does Dr. Stanley C Aguh, DPT practice?

The practice location is 4511 Knox RD Ste 102, College Park, MD 20740-3380. The office can be reached at 301-277-6616 (phone) or 301-277-6618 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194369967 directly on the NPPES registry website.

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