NPIMap

Organization Active NPI

VR Subsidiary LLC

Doing business as medtaris rehabilitation

  • Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1205072899
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VR SUBSIDIARY LLC
Doing business as
medtaris rehabilitation
Practice address
411 Crain Hwy S
Suite a
Glen Burnie, MD 21061-3644
Phone
(410) 768-3600
Fax
(410) 768-3731
NPI assigned
Jan 2, 2009
Last updated
Jan 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Mr. Mark D Pappas
Title
Operations Manager
Phone
(410) 738-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

411 Crain Hwy S
Suite a
Glen Burnie, MD 21061-3644

Mailing address

411 Crain Hwy S
Suite a
Glen Burnie, MD 21061-3644
Phone (410) 768-3600

Other names 1

  • medtaris rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

411 Crain Hwy S
#A
Glen Burnie, MD 21061
Phone (410) 768-3600

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1205072899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CRAIN HWY S",
            "address_2": "SUITE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613644",
            "telephone_number": "410-768-3600",
            "fax_number": "410-768-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CRAIN HWY S",
            "address_2": "SUITE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613644",
            "telephone_number": "410-768-3600",
            "fax_number": "410-768-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VR SUBSIDIARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "410-738-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medtaris rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.