Healthcare Provider Details

I. General information

NPI: 1548731334
Provider Name (Legal Business Name): FLAGSHIP REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W LEMON ST
LITITZ PA
17543-2311
US

IV. Provider business mailing address

157 BALTIMORE ST STE 201
CUMBERLAND MD
21502-2472
US

V. Phone/Fax

Practice location:
  • Phone: 717-625-6140
  • Fax: 717-625-7791
Mailing address:
  • Phone: 301-722-3215
  • Fax: 301-722-1028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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

VIII. Authorized Official

Name: CHELSEA BOYLE
Title or Position: COO
Credential:
Phone: 301-722-3215