Healthcare Provider Details

I. General information

NPI: 1104171404
Provider Name (Legal Business Name): TERRAPIN CARE CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9685 BALTIMORE AVE SUITE 420
COLLEGE PARK MD
20740-1323
US

IV. Provider business mailing address

9685 BALTIMORE AVE SUITE 420
COLLEGE PARK MD
20740-1323
US

V. Phone/Fax

Practice location:
  • Phone: 301-220-1930
  • Fax: 301-220-1906
Mailing address:
  • Phone: 301-220-1930
  • Fax: 301-220-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL KRAUS
Title or Position: OWNER/PRESIDENT
Credential: DC
Phone: 301-220-1930