Healthcare Provider Details

I. General information

NPI: 1528732302
Provider Name (Legal Business Name): NATIONAL REHABILITATION HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 YORK RD FIELD HOUSE 101
TOWSON MD
21252-0001
US

IV. Provider business mailing address

102 IRVING ST NW ATTN: MHPT PAYOR ENROLLMENT
WASHINGTON DC
20010-2949
US

V. Phone/Fax

Practice location:
  • Phone: 410-512-5820
  • Fax: 410-512-5859
Mailing address:
  • Phone: 301-540-6140
  • Fax: 301-540-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JOHN ROCKWOOD
Title or Position: PRESIDENT
Credential:
Phone: 410-540-6140