Healthcare Provider Details

I. General information

NPI: 1184608119
Provider Name (Legal Business Name): NATIONAL MEDICAL REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 LIVINGSTON RD STE 450
FORT WASHINGTON MD
20744-4905
US

IV. Provider business mailing address

9400 LIVINGSTON RD STE 450
FORT WASHINGTON MD
20744-4905
US

V. Phone/Fax

Practice location:
  • Phone: 301-248-8900
  • Fax: 301-248-8915
Mailing address:
  • Phone: 301-248-8900
  • Fax: 301-248-8915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEILANI I LARKIN
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 301-248-8900