Kodiak Physiatry Consulting

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KODIAK PHYSIATRY CONSULTING

Practice address

141 S Main St
Boonsboro, MD 21713-1203

Phone

(301) 432-5457

NPI assigned

Dec 9, 2024

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bilaal A Saif, DONPI 1689134819

Title

Owner

Phone

(240) 291-0197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Bilaal Saif

  • Physical Medicine & Rehabilitation Physician
  • Boonsboro, MD
  • NPI 1689134819

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1235945700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PUBLIC SQ ST 301",
            "address_2": "#604",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "240-291-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131203",
            "telephone_number": "301-432-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODIAK PHYSIATRY CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SAIF",
        "authorized_official_first_name": "BILAAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-291-0197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabbar Hussain, M.D.
• Integrated Rehab Consultants LLC
• Jack E. Barr Center for Well-Being
• Sally Jornlin
• Kathryn Brooke Kindler, LMSW
• Chelsea Rose Ksanznak, MSW, LSW, MS,CCC-SLP
• Neelam Lakade, PT
• Michael Brian Lapole, COTA/L
• Heather Leasure, PTA
• Melissa Marie Leplatt, CRNP

• Physical Medicine & Rehabilitation Physician in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.