Tri-State Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRI-STATE REHAB INC

Doing business as

Fyzical Therapy and Balance Center

Practice address

19733 Leitersburg Pike Ste 102
Hagerstown, MD 21742-1484

Phone

(301) 714-0700

Fax

(301) 714-0703

NPI assigned

Feb 15, 2007

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth S Kennedy

Title

Adminstrative Director

Phone

(301) 714-0700

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• FYZICAL THERAPY AND BALANCE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 6

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.

• Barry L Brown, P.T.

  • Physical Therapist
  • Hagerstown, MD
  • NPI 1629242664
  NPD
• Maria P Brown, P.T.

  • Physical Therapist
  • Hagerstown, MD
  • NPI 1053585091
  NPD
• Laine M Heisler, PTA

  • Physical Therapy Assistant
  • Hagerstown, MD
  • NPI 1811786221
  NPD
• Megan Morris

  • Physical Therapy Assistant
  • Hagerstown, MD
  • NPI 1013614718
  NPD
• Nicholas Terzulli, PTA

  • Physical Therapy Assistant
  • Hagerstown, MD
  • NPI 1942099817
  NPD
• Suffia Pauline Amable Llanes, PT

  • Physical Therapist
  • Hagerstown, MD
  • NPI 1821810177
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1033252184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19737 LEITERSBURG PIKE",
            "address_2": "SUITE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421443",
            "telephone_number": "240-420-0859",
            "fax_number": "240-420-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19733 LEITERSBURG PIKE STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421484",
            "telephone_number": "301-714-0700",
            "fax_number": "301-714-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18352 College Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217401768",
            "country_code": "US",
            "telephone_number": "301-880-3365",
            "fax_number": "301-714-0703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-STATE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINSTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "301-714-0700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690700800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL THERAPY AND BALANCE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanel A Travers, LGPC
• Devin C Traynor, PA - C
• Chandler Brooke Trecost, MSN, FNP-C
• Christina Trenton Nee, LCSW-C
• Carrie Lynne Tressler
• Trinity Supportive Housing and Consumer Services
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• Tristate Neurology Center
• Tristate Physical Therapy, LLC
• Tristate Surgeons, LLC

• Physical Therapist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.