Healthcare Provider Details

I. General information

NPI: 1467320069
Provider Name (Legal Business Name): RE PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 201
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

6638 CHIPPEWA DR
BALTIMORE MD
21209-1512
US

V. Phone/Fax

Practice location:
  • Phone: 410-929-0760
  • Fax:
Mailing address:
  • Phone: 410-929-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RACHEL FINGERER
Title or Position: MEMBER
Credential: DPT
Phone: 410-622-2149