NPIMap

Organization Active NPI

Mdics Rehabilitative Services - Ltcaco LLC

  • Internal Medicine Physician
  • Randallstown, MD
National Provider Identifier
1073404471
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDICS REHABILITATIVE SERVICES - LTCACO LLC
Practice address
4511 Robosson Rd
Randallstown, MD 21133-1018
Phone
(410) 922-2443
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
David Sweatt
Title
Cfo
Phone
(240) 841-8714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4511 Robosson Rd
Randallstown, MD 21133-1018

Mailing address

PO Box 69231
Baltimore, MD 21264-9231

National Provider Directory

National Provider Directory
Tax ID family
Mdics Rehabilitative Services - Ltcaco LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1073404471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69231",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018",
            "telephone_number": "410-922-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDICS REHABILITATIVE SERVICES - LTCACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "SWEATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "240-841-8714"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.