NPIMap

Organization Active NPI

National Upper Extremity Rehabilitation Center

  • Hand Physical Therapist
  • Bowie, MD
National Provider Identifier
1124103429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
Legal business name
NATIONAL UPPER EXTREMITY REHABILITATION CENTER
Practice address
14300 Gallant Fox LN Ste 114
Bowie, MD 20715-4031
Phone
(301) 464-5100
Fax
(301) 464-1067
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Kathleen Sorenson, PT/CHTNPI 1023193398
Title
President/Provider
Phone
(410) 263-6638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X NU Primary

Addresses

Primary practice location

14300 Gallant Fox LN Ste 114
Bowie, MD 20715-4031

Mailing address

14300 Gallant Fox LN Ste 114
Bowie, MD 20715-4031
Phone (301) 464-5100

National Provider Directory

National Provider Directory

Locations

14300 Gallant Fox Ln
Ste 114
Bowie, MD 20715
Phone (301) 464-5100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124103429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 114",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "301-464-5100",
            "fax_number": "301-464-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 114",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "301-464-5100",
            "fax_number": "301-464-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL UPPER EXTREMITY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "410-263-6638",
        "authorized_official_credential": "PT/CHT"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.