Active NPI
Potomac Health and Education Group
- Physical Therapist
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marian Cuba Ruta, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 574111400 | Medicaid | MD | |
| 355103200 | Medicaid | MD |
Other names 1
- Potomac Health Group LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.