Waltrous Rehabilitation Medicine Associates LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D77249 Issued in MD

Legal business name

WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC

Practice address

7610 Pennsylvania Ave
District Heights, MD 20747-4701

Phone

(301) 817-3001

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Justin Waltrous, M.D.

Title

Owner

Phone

(240) 460-4661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1104240845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 HAYSHED LN APT 34",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452841",
            "telephone_number": "240-460-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207474701",
            "telephone_number": "301-817-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "WALTROUS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-460-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D77249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.