Healthcare Provider Details

I. General information

NPI: 1972991644
Provider Name (Legal Business Name): BEAT REHABILITATION AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 BANNEKER RD STE 110
COLUMBIA MD
21044-3118
US

IV. Provider business mailing address

5840 BANNEKER RD STE 110
COLUMBIA MD
21044-3118
US

V. Phone/Fax

Practice location:
  • Phone: 410-884-0000
  • Fax: 410-884-0002
Mailing address:
  • Phone: 410-884-0003
  • Fax: 410-884-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23006
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALREEN DAY LAGMAY ALFONSO
Title or Position: PRACTICE MANAGER
Credential: DPT
Phone: 410-884-0003