MEDICARE: SUBURBAN/NRH MEDICAL REHABILITATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1457354748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUBURBAN/NRH MEDICAL REHABILITATION INC

Provider Business Mailing Address
First Line	:	102 IRVING ST NW
Second Line	:	ATTN: MHPT PAYOR ENROLLMENT
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2921
Country	:	US
Telephone Number	:	301-540-6140
Fax Number	:	301-540-5190

Provider Business Practice Location Address
First Line	:	6410 ROCKLEDGE DR STE 600
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1844
Country	:	US
Telephone Number	:	301-540-6140
Fax Number	:	301-540-5190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN ROCKWOOD
Credential	:
Telephone Number	:	301-540-6140

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/28/2024

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