Healthcare Provider Details
I. General information
NPI: 1891046934
Provider Name (Legal Business Name): REHABNEEDS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2012
Last Update Date: 11/20/2021
Certification Date: 11/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2401 RESEARCH BLVD STE 101
ROCKVILLE MD
20850-3215
US
IV. Provider business mailing address
2401 RESEARCH BLVD STE 101
ROCKVILLE MD
20850-3215
US
V. Phone/Fax
- Phone: 240-480-4553
- Fax: 301-972-1068
- Phone: 240-480-4553
- Fax: 301-972-1068
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | MD |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARYA
KHOSHKHOU
Title or Position: PRINCIPAL
Credential: PHD
Phone: 240-793-1090