Organization Active NPI

Potomac Health and Education Group

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1285003038
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
POTOMAC HEALTH AND EDUCATION GROUP
Practice address
6278 Montrose Rd
Rockville, MD 20852-4119
Phone
(240) 750-9966
Fax
(301) 299-2382
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Dr. Marian Cuba Ruta, DPTNPI 1679787048
Title
Director
Phone
(301) 881-1885

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 Primary

Addresses

Primary practice location

6278 Montrose Rd
Rockville, MD 20852-4119

Mailing address

6278 Montrose Rd
Rockville, MD 20852-4119
Phone (240) 750-9966

Other identifiers 2

IdentifierTypeStateIssuer
574111400MedicaidMD
355103200MedicaidMD

Other names 1

  • Potomac Health Group LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718000103 DC Part B Supplier - Clinic/Group Practice 0143512897 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

13244 Executive Park Ter
Germantown, MD 20874
Phone (202) 680-0250

4 Executive Park Ct
Germantown, MD 20874
Phone (301) 916-1119

6224 Montrose Rd
Rockville, MD 20852
Phone (301) 571-9112

6278 Montrose Rd
Rockville, MD 20852
Phone (240) 535-6339

Practitioners & affiliated clinicians

Practitioners 1

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": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1285003038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524119",
            "telephone_number": "240-750-9966",
            "fax_number": "301-299-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524119",
            "telephone_number": "240-750-9966",
            "fax_number": "301-299-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC HEALTH AND EDUCATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "RUTA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "CUBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-881-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574111400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355103200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Health Group LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potomac Health Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2021; 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.