NATIONAL REHABILITATION HOSPITAL, INC. (NPI# 1982176673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982176673 |
| Entity Type | Organization |
| Organization Name | NATIONAL REHABILITATION HOSPITAL, INC. |
| Practice Address |
1700 E Cold Spring Ln Baltimore MD 21251-0001 |
| Mailing Address |
20410 Century Blvd Ste 215 Germantown MD 20874-1187 |
| Practice Telephone | 4103660791 |
| Practice Fax Number | 4103660930 |
| Mailing Telephone | 3015406140 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | MR. JOHN BRICKLEY (VICE PRESIDENT AMBULATORY OPERATION) |
| Authorized Official Telephone | 3015406140 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MedStar NRH Rehab Network @ Morgan State University | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792839 | National Rehabilitation Hospital, Inc. | Clinic/Center | 131 Industry Ln Unit 4, Forest Hill, MD 21050-1621 | 2018-12-19 |
| 1457711087 | National Rehabilitation Hospital, Inc. | Clinic/Center | 6401 American Boulevard, Suite 204, Hyattsville, MD 20782 | 2016-02-24 |
| 1871970400 | National Rehabilitation Hospital, Inc. | Physical Therapist | 658 Boulton St., Suite A, Bel Air, MD 21014 | 2015-05-04 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1598142127 | National Rehabilitation Hospital, Inc. | Physical Therapist | 5454 Wisconsin Ave., Street Level, Chevy Chase, MD 20815 | 2015-05-04 |
| 1649657511 | National Rehabilitation Hospital, Inc. | Physical Therapist | 2118 Greenspring Dr Ste 200, Lutherville, MD 21093-3112 | 2015-04-30 |
| 1538514393 | National Rehabilitation Hospital, Inc. | Clinic/Center | 13950 Brandywine Road, Brandywine, MD 20613 | 2016-04-29 |
| 1548629900 | National Rehabilitation Hospital, Inc. | Clinic/Center | 4501 N Charles St, Dechiaro College Center-room 103, Baltimore, MD 21210-2601 | 2016-02-15 |
| 1629437082 | National Rehabilitation Hospital, Inc. | Clinic/Center | 8000 York Rd, Field House 101, Towson, MD 21252-0001 | 2016-02-15 |
| 1003293374 | National Rehabilitation Hospital, Inc. | Physical Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2015-05-06 |
| Street Address |
1700 E COLD SPRING LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21251-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154751584 | Morgan State University Health Center | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2013-11-21 |
| 1073098778 | Kennedi Van Eyken | Internal Medicine | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-09-27 |
| 1821468349 | Daquane Ellington | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2015-09-26 |
| 1811371016 | Kaitlyn Creznic | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251 | 2015-07-17 |
| 1427456599 | Ron Cooper | Specialist/Technologist | 1700 E Cold Spring Ln, Athletics Department, Baltimore, MD 21251-0001 | 2014-12-05 |
| 1891191516 | Shanteisha Pruitt | Specialist/Technologist | 1700 E Cold Spring Ln, Hill Field House Ll119, Baltimore, MD 21251-0001 | 2014-11-06 |
| 1407258825 | Morgan State University | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-09-17 |
| 1043628746 | Kasey Richardson | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437438645 | Ivis Theodore Forrester | Dietitian, Registered | 3939 Reisterstown Rd, Baltimore, MD 21251 | 2011-08-05 |
| 1427207778 | Kathy H. Chan | Physician Assistant | Morgan State University, Woolford Infirmary, Baltimore, MD 21251-0001 | 2008-09-11 |
| 1164984118 | Joshua Fike | Specialist/Technologist | 1700 East Cold Spring Lane, Baltimore, MD 21251-0002 | 2019-04-01 |
| 1417174889 | Folashade R Kanimodo | Nurse Practitioner | 1700 East Cold Spring Lane University Health Center, Baltimore, MD 21251-4999 | 2007-04-19 |
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1558754051 | The Johns Hopkins Hospital | Clinic/Center | 1501 South Clinton Street, Suite #200, Baltimore, MD 21224 | 2015-03-09 |
| 1619061785 | Physiotherapy Associates Inc | Clinic/Center | 1585 Sulphur Spring Rd, Suite 110, Baltimore, MD 21227-2536 | 2006-10-03 |
| 1215042023 | Rehab Management of Md, Inc. | Clinic/Center | 8800 Old Harford Rd, Baltimore, MD 21234-2867 | 2006-08-20 |
| 1992773048 | Select Physical Therapy Holdings Inc | Clinic/Center | 4130 E Joppa Rd, Ste 112, Baltimore, MD 21236 | 2006-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.