Healthcare Provider Details

I. General information

NPI: 1992648109
Provider Name (Legal Business Name): REHAB 2 PERFORM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 FOREST DR STE 145
ANNAPOLIS MD
21401-4211
US

IV. Provider business mailing address

20501 SENECA MEADOWS PKWY STE 100
GERMANTOWN MD
20876-7017
US

V. Phone/Fax

Practice location:
  • Phone: 301-798-4838
  • Fax: 301-798-4876
Mailing address:
  • Phone: 301-798-4838
  • Fax: 301-798-4876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHANNON WELTE
Title or Position: ADMIN SUPPORT SPECIALIST
Credential:
Phone: 301-798-4838