MEDICARE: NATIONAL HEALTH REHABILITATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1780515106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL HEALTH REHABILITATION LLC

Provider Business Mailing Address
First Line	:	PO BOX 22239
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 N ROCK GLEN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-3250
Country	:	US
Telephone Number	:	872-231-3162
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NITIN PUTCHA
Credential	:
Telephone Number	:	917-972-3618

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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