NPIMap

Organization Active NPI

Fall Prevention and Stroke Rehab Physician, LLC

  • Medical Specialty Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1124564703
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FALL PREVENTION AND STROKE REHAB PHYSICIAN, LLC
Practice address
9199 Reisterstown Rd
Owings Mills, MD 21117-4520
Phone
(443) 898-8160
Fax
(443) 898-8916
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Authorized official

Name
Levan AtanelovNPI 1578851689
Title
Owner
Phone
(443) 898-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

9199 Reisterstown Rd
Owings Mills, MD 21117-4520

Mailing address

9199 Reisterstown Rd Ste 101B
Owings Mills, MD 21117-4513
Phone (443) 898-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170412001869 MD Part B Supplier - Clinic/Group Practice 5294011912 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Owings Mills, MD
O20200928002043 DC Part B Supplier - Clinic/Group Practice 5294011912 Receives reassigned benefits from 2 practitioners
Practice locations: Laurel, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9001 Cherry Ln
Laurel, MD 20708
Phone (301) 498-8558

9199 Reisterstown Rd
Ste 101B
Owings Mills, MD 21117
Phone (443) 543-6773

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24618/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770508800000",
    "number": "1124564703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 101B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "443-898-8160",
            "fax_number": "443-898-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174520",
            "telephone_number": "443-898-8160",
            "fax_number": "443-898-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL PREVENTION AND STROKE REHAB PHYSICIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "ATANELOV",
        "authorized_official_first_name": "LEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-898-8160"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.