Healthcare Provider Details

I. General information

NPI: 1366121980
Provider Name (Legal Business Name): NATIONAL REHABILITATION HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 JOHN MCCORMACK RD, NE RAYMOND A. DUFOUR CENTER
WASHINGTON DC
20064-3406
US

IV. Provider business mailing address

102 IRVING ST NW ATTN: MHPT PAYOR ENROLLMENT
WASHINGTON DC
20010-2921
US

V. Phone/Fax

Practice location:
  • Phone: 202-416-2110
  • Fax: 202-416-2011
Mailing address:
  • Phone: 301-540-6140
  • Fax: 301-540-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN DAVID ROCKWOOD
Title or Position: PRESIDENT
Credential:
Phone: 301-540-6140