Select Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SELECT REHAB

Practice address

1739 Kirby Rd
MC Lean, VA 22101-4817

Phone

(703) 506-6900

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Authorized official

Name

Theodore Roberson

Title

Physical Therapist Assistant

Phone

(301) 346-3202

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1033714258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 HAWKS RIDGE TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765502",
            "telephone_number": "301-346-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 KIRBY RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014817",
            "telephone_number": "703-506-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "301-346-3202"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Germantown",
            "affiliation": "N",
            "address_1": "11433 Hawks Ridge Ter",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208765502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "McLean",
            "affiliation": "N",
            "address_1": "1739 Kirby Rd",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221014817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Clinic/Center in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.