Healthcare Provider Details

I. General information

NPI: 1609253236
Provider Name (Legal Business Name): NATIONAL REHABILITATION HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 KINGSTOWNE VILLAGE PKWY STE 110
ALEXANDRIA VA
22315-4645
US

IV. Provider business mailing address

5235 KING AVE FL 4 ATTN: MHPT PAYOR ENROLLMENT
BALTIMORE MD
21237-4068
US

V. Phone/Fax

Practice location:
  • Phone: 703-647-3110
  • Fax: 703-822-9955
Mailing address:
  • Phone: 301-540-6140
  • Fax: 667-261-6078

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