Healthcare Provider Details

I. General information

NPI: 1164602314
Provider Name (Legal Business Name): SUN RISE REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7249 HANOVER PKWY SUITE A AND B
GREENBELT MD
20770-3608
US

IV. Provider business mailing address

7249 HANOVER PKWY SUITE A AND B
GREENBELT MD
20770-3608
US

V. Phone/Fax

Practice location:
  • Phone: 301-446-2488
  • Fax: 301-446-2490
Mailing address:
  • Phone: 301-446-2488
  • Fax: 301-446-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. SAQUIB KHAN
Title or Position: OWNER
Credential:
Phone: 301-446-2488