Healthcare Provider Details

I. General information

NPI: 1518509934
Provider Name (Legal Business Name): FLAGSHIP REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 MILITARY RD NW
WASHINGTON DC
20015-1341
US

IV. Provider business mailing address

157 BALTIMORE ST STE 200
CUMBERLAND MD
21502-2472
US

V. Phone/Fax

Practice location:
  • Phone: 202-596-3103
  • Fax: 202-363-4699
Mailing address:
  • Phone: 301-722-3215
  • Fax: 301-722-1450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHARON KATHLEEN PUSEY
Title or Position: VP CORPORATE COMPLIANCE/QI
Credential: RN, CPHQ, MS
Phone: 301-722-3215