Sundance Rehabilitation

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

A3417 Issued in MD

Legal business name

SUNDANCE REHABILITATION

Practice address

520 Kerr Ave
Denton, MD 21629-1343

Phone

(410) 479-2130

Fax

(410) 479-3057

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By 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

Miss Susan P Jordan, PTANPI 1497090369

Title

Physical Therapist Assistant

Phone

(410) 479-2130

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sundance Rehabilitation Agency, Inc.

  dba SunDance Maryland Rehabilitation Agency

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1093760928
  NPPES parent name

Practitioners 1

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.

• Susan P Jordan, PTA

  • Physical Therapy Assistant
  • Denton, MD
  • NPI 1497090369
  Authorized official Same address or phone

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1104160662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR STE 302",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "800-815-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KERR AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291343",
            "telephone_number": "410-479-2130",
            "fax_number": "410-479-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "410-479-2130",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MD",
            "license": "A3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Steele, LCSW-C
• Danielle Stewart
• Tyler Stewart, PTA
• Lauren Stoltzfus
• Robin Marie Strom-Mackey, COTA
• Taiwo Osunkoya DMD LLC
• Kevin D Tate, M.D.
• Rebecca Teets, LCSW-C
• The Gables at Caroline Inc
• The Gables at Caroline, LLC

• Rehabilitation Hospital Unit in Denton, MD
• Providers in Denton, MD by specialty
• Rehabilitation Hospital Unit in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.