Organization Active NPI

Advantage Rehab, Inc.

  • Physical Therapist
  • Denton, MD
National Provider Identifier
1134423189
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18311 Issued in MD
Legal business name
ADVANTAGE REHAB, INC.
Practice address
103 S. 7TH Street
Denton, MD 21629
Phone
(410) 479-0470
Fax
(410) 479-0526
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mrs. Kimberly Hayman Schall, P.T.NPI 1104147586
Title
Physical Therapist
Phone
(443) 786-0750

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 18311 MD Primary

Addresses

Primary practice location

103 S. 7TH Street
Denton, MD 21629

Mailing address

25324 Sunset Ave
Greensboro, MD 21639
Phone (410) 479-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000087 MD Part B Supplier - Clinic/Group Practice 7911189386 Receives reassigned benefits from 5 practitioners
Practice locations: Denton, MD; Preston, MD

National Provider Directory

National Provider Directory
Tax ID family
Advantage Rehab Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4006 Hayman Dr
Federalsburg, MD 21632
Phone (410) 754-7700

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1134423189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25324 SUNSET AVE",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "21639",
            "telephone_number": "410-479-0470",
            "fax_number": "410-479-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S. 7TH STREET",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "21629",
            "telephone_number": "410-479-0470",
            "fax_number": "410-479-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "SCHALL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HAYMAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-786-0750",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.