MEDICARE: PROFESSIONAL REHAB GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist
3	225200000X	Physical Therapy Assistant
4	225X00000X	Occupational Therapist
5	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1750502167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL REHAB GROUP

Provider Business Mailing Address
First Line	:	2601 GARRETT RD
Second Line	:
City	:	WHITE HALL
State	:	MD
Zip	:	21161-9743
Country	:	US
Telephone Number	:	410-245-5030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 GARRETT RD
Second Line	:
City	:	WHITE HALL
State	:	MD
Zip	:	21161-9743
Country	:	US
Telephone Number	:	410-245-5030
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARRIE GORDONLARSON WARFEL
Credential	:
Telephone Number	:	410-245-5030

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	09/11/2025

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Directions to “PROFESSIONAL REHAB GROUP ” Practice Location

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