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Contact Information

PRIVIA MEDICAL GROUP, LLC
11301 AMHERST AVE STE 102
SILVER SPRING, MD20902-4665
 Phone: 301-933-7827
 Fax: 240-290-0432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Migrant Health

261QM1000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PRIVIA MEDICAL GROUP LLC · (Female)

NPI Number 1922959048
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2026
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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