Active NPI
Atlantic Rehab, Inc
- Physical Therapy Clinic/Center
- Glen Burnie, MD
National Provider Identifier
1003855461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- A1924
- Legal business name
- ATLANTIC REHAB, INC
- Practice address
- 5 Crain Hwy N
Suite 103
Glen Burnie, MD 21061-2803 - Phone
- (410) 768-9500
- Fax
- (410) 768-5200
- NPI assigned
- Jun 4, 2006
- Last updated
- Oct 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald M. Kelch, PTA, MS, JSCC
- Title
- Director
- Phone
- (410) 768-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | A1924 | MD | Primary |
Addresses
Primary practice location
5 Crain Hwy N
Suite 103
Glen Burnie, MD 21061-2803
Mailing address
5 Crain Hwy N
Suite 103
Glen Burnie, MD 21061-2803
Phone (410) 768-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 Ritchie Hwy
Ste A
Arnold, MD 21012
Phone (410) 544-6038
5 Crain Hwy N
Ste 103
Glen Burnie, MD 21061
Phone (410) 768-9500
8028 Ritchie Hwy
Ste 207
Pasadena, MD 21122
Phone (410) 296-6232
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopedic Physical Therapist
- Glen Burnie, MD
- NPI 1598708471
-
- Physical Therapist
- Severna Park, MD
- NPI 1154545572
-
- Physical Therapist
- Fallston, MD
- NPI 1306866470
-
- Physical Therapist
- Berlin, MD
- NPI 1386909794
-
- Orthopedic Physical Therapist
- Arnold, MD
- NPI 1457398323
-
- Orthopedic Physical Therapist
- Glen Burnie, MD
- NPI 1790727618
-
- Physical Therapist
- Glen Burnie, MD
- NPI 1205932225
-
- Physical Therapist
- Abingdon, MD
- NPI 1548241425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635120000000",
"number": "1003855461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CRAIN HWY N",
"address_2": "SUITE 103",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612803",
"telephone_number": "410-768-9500",
"fax_number": "410-768-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CRAIN HWY N",
"address_2": "SUITE 103",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612803",
"telephone_number": "410-768-9500",
"fax_number": "410-768-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC REHAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "KELCH",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "410-768-9500",
"authorized_official_credential": "PTA, MS, JSCC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "A1924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
- Ati Holding LLC (ATI Physical Therapy)
- Ati Holding LLC (PRO Physical Therapy)
- Ati Holdings, LLC (ATI Physical Therapy Linthicum)
- Deadra Carnack Atkins, LCSW-C
- Tyler Ronald Atkinson, PHARMD
- Atlas Physical Therapy & Associates, LLC
- Sridhar Atluri, M.D.
- Attentive Residential Care, LLC (ComForCare Home Care - North Arundel County)
- Attuned Psychotherapy
- Audiology Associates Inc. (Audiology Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.