Active NPI
Eagle Rehabilitation Services Inc
- Professional Counselor
- Pikesville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EAGLE REHABILITATION SERVICES INC
- Practice address
- 1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126 - Phone
- (443) 473-9470
- NPI assigned
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iyabode Fadeyi, LCPC
- Title
- Ceo
- Phone
- (443) 473-9470
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Mailing address
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Phone (443) 473-9470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Eagle Rehabilitation Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Educator
- Pikesville, MD
- NPI 1902691769
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.
-
- Professional Counselor
- Pikesville, MD
- NPI 1992170468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1235838400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-473-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-473-9470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE REHABILITATION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "FADEYI",
"authorized_official_first_name": "IYABODE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-473-9470",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.