NPIMap

Organization Active NPI

Proactive Hand and Physical Therapy

  • Physical Therapy Clinic/Center
  • Rockville, MD
National Provider Identifier
1134442783
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROACTIVE HAND AND PHYSICAL THERAPY
Practice address
9420 Key West Ave
Suite 140
Rockville, MD 20850-6332
Phone
(301) 545-1677
Fax
(301) 545-1675
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Bret Grebowsky, PT, DPT, CHTNPI 1174702062
Title
Owner
Phone
(301) 545-1677

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9420 Key West Ave
Suite 140
Rockville, MD 20850-6332

Mailing address

9420 Key West Ave
Suite 140
Rockville, MD 20850-3334
Phone (301) 545-1677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100902000484 DC Part B Supplier - Clinic/Group Practice 5991839110 Receives reassigned benefits from 8 practitioners
Practice locations: Bethesda, MD; Greenbelt, MD; Rockville, MD

National Provider Directory

National Provider Directory
Tax ID family
Proactive Hand and Physical Therapy2 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.

Practitioners & affiliated clinicians

Practitioners 10

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": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1134442783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE",
            "address_2": "SUITE 140",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503334",
            "telephone_number": "301-545-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE",
            "address_2": "SUITE 140",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506332",
            "telephone_number": "301-545-1677",
            "fax_number": "301-545-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HAND AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "GREBOWSKY",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-545-1677",
        "authorized_official_credential": "PT, DPT, CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.