Healthcare Provider Details

I. General information

NPI: 1821742305
Provider Name (Legal Business Name): NATIONAL REHABILITATIN HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12400 PARK POTOMAC AVE STE R-2A
POTOMAC MD
20854-6973
US

IV. Provider business mailing address

20410 CENTURY BLVD STE 215
GERMANTOWN MD
20874-1187
US

V. Phone/Fax

Practice location:
  • Phone: 301-581-8057
  • Fax: 202-559-9511
Mailing address:
  • Phone: 301-540-6140
  • Fax: 301-540-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN ROCKWOOD
Title or Position: PRESIDENT
Credential:
Phone: 301-540-6140