MEDICARE: TOTAL REHAB AT HOME, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	20117	MD

General Provider Information

NPI Number	:	1851604482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL REHAB AT HOME, INC.

Provider Business Mailing Address
First Line	:	227 BANK ST
Second Line	:
City	:	CHESAPEAKE CITY
State	:	MD
Zip	:	21915-1016
Country	:	US
Telephone Number	:	410-392-2731
Fax Number	:	410-392-2732

Provider Business Practice Location Address
First Line	:	227 BANK ST
Second Line	:
City	:	CHESAPEAKE CITY
State	:	MD
Zip	:	21915-1016
Country	:	US
Telephone Number	:	410-392-2731
Fax Number	:	410-392-2732

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. KERI FAYE KUNKEL
Credential	:
Telephone Number	:	410-392-2731

Provider Enumeration Date	:	07/25/2010
Last Update Date	:	03/03/2025

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