NPIMap

Organization Active NPI

National Rehabilitation Hospital, Inc

Doing business as Medstar Health Physical Therapy at Coppin State University

  • Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1326897398
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NATIONAL REHABILITATION HOSPITAL, INC
Doing business as
Medstar Health Physical Therapy at Coppin State University
Practice address
2523 Gwynns Falls Pkwy Ste 131
Attn: Csu Physical Education BLDG Sports Medicine
Baltimore, MD 21216-3201
Phone
(410) 230-7830
Fax
(410) 230-7831
NPI assigned
May 14, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDSTAR HEALTH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
John David Rockwood
Title
President
Phone
(301) 540-6140

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

2523 Gwynns Falls Pkwy Ste 131
Attn: Csu Physical Education BLDG Sports Medicine
Baltimore, MD 21216-3201

Mailing address

102 Irving St NW
Attn: MHPT Payor Enrollment
Washington, DC 20010-2921
Phone (301) 540-6140

Other names 1

  • MEDSTAR HEALTH PHYSICAL THERAPY AT COPPIN STATE UNIVERSITY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

National Provider Directory

National Provider Directory
Tax ID family
Medstar Health Inc3 organizations share this tax ID, including this one
Part of
Medstar Health Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2523 Gwynns Falls Pkwy
Ste 131
Baltimore, MD 21216
Phone (410) 230-7830

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1326897398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "address_2": "ATTN: MHPT PAYOR ENROLLMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 GWYNNS FALLS PKWY STE 131",
            "address_2": "ATTN: CSU PHYSICAL EDUCATION BLDG SPORTS MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163201",
            "telephone_number": "410-230-7830",
            "fax_number": "410-230-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL REHABILITATION HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAR HEALTH INC.",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "ROCKWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-540-6140"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd Ste 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MEDSTAR HEALTH PHYSICAL THERAPY AT COPPIN STATE UNIVERSITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.