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

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, PTA

Title

Physical Therapist Assistant

Phone

(410) 479-2130

Specialties & licenses 1

Addresses

Locations

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.

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

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.