Rehab 2 Perform LLC
Organization Active NPI Physical Therapist · Columbia, MD
NPI 1295618692 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1295618692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- REHAB 2 PERFORM LLC
- Practice address
- 9881 Broken Land Pkwy Ste 103
Columbia, MD 21046-3013 - Phone
- (301) 798-4838
- Fax
- (301) 798-4876
- NPI assigned
- Jul 31, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- REHAB 2 PERFORM LLC
Authorized official
- Name
- Shannon Welte
- Title
- Administrative Support Specialist
- Phone
- (301) 798-4838
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 5
Practitioners 87
-
Roland Aikens Jr., DPT
-
Zachary Daniel Baker, DPT
-
Jordan Lynn Barnhill, DPT
-
Casey Beals, DPT
-
Tyler Jeffrey Betteridge, PT, DPT
-
Brendan Born, DPT
-
Andrew Lloyd Bucknor, DPT
-
Alison Reece Clark, DPT
-
Ronald Clark Dancy, PT, DPT
-
David Dinh, PT, DPT
-
Samantha Dolch, DPT
-
Gregory S Ellis, DPT
-
Joshua Funk, DPT, CSCS
-
Madeline Stewart Gilligan, PT, DPT
-
Matthew James Giroux, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170217000052 | MD | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6002199064 |
Receives reassigned benefits from 59 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mount Airy, MD; Williamsport, MD; Owings Mills, MD; Gambrills, MD; Frederick, MD; Columbia, MD; Annapolis, MD |
National Provider Directory
- Tax ID family
- Rehab 2 Perform LLC
- Part of
- Rehab 2 Perform LLC
Locations
9881 Broken Land Pkwy
Ste B
Columbia, MD 21046
9315 Largo Dr W
Ste 100
Upper Marlboro, MD 20774
38 Catoctin Cir SE
Ste 38C
Leesburg, VA 20175
Phone (301) 450-7560
11507 Sunset Hills Rd
Reston, VA 20190
Phone (301) 900-5743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
9881 Broken Land Pkwy Ste 103
Columbia, MD 21046-3013
Mailing address
20501 Seneca Meadows Pkwy Ste 100
Germantown, MD 20876-7017
Phone (301) 798-4838
Other providers in Columbia, MD
- Allie-Lane Regier
- Lysa Regits
- Sharon Regland
- Carilyn A Rego
- Rehab & Fitness Paradise - Physical Therapy, LLC
- Rehab Center of Maryland LLC
- Rehab Center of Maryland, Corp.
- Demielle Rehr
- Scott Thomas Rehrig Jr.
- Eric James Reid
All providers in Columbia, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.