Healthcare Provider Details

I. General information

NPI: 1891371340
Provider Name (Legal Business Name): STEPHEN ELLIOTT RITTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 FAIRLAND RD
SILVER SPRING MD
20904-5427
US

IV. Provider business mailing address

2101 FAIRLAND RD
SILVER SPRING MD
20904-5427
US

V. Phone/Fax

Practice location:
  • Phone: 301-384-6161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberH0107208
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: