NPIMap

Organization Active NPI

Frederick Health Hospital Inc

Doing business as FMH Rose Hill Rehab, Mt. Airy Rehab, Crestwood Rehab. Mt. Airy Health

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1336145127
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FREDERICK HEALTH HOSPITAL INC
Doing business as
FMH Rose Hill Rehab, Mt. Airy Rehab, Crestwood Rehab. Mt. Airy Health
Frederick Health Physical Therapy and Sports Rehab
Practice address
163 Thomas Johnson Dr
Frederick, MD 21702-4673
Phone
(240) 566-3132
NPI assigned
Jun 27, 2005
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICK HEALTH HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Ms. Shelby Boggs
Title
Vice President
Phone
(443) 721-4452

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

163 Thomas Johnson Dr
Frederick, MD 21702-4673

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3330

Other names 3

  • FMH Rose Hill Rehab, Mt. Airy Rehab, Crestwood Rehab. Mt. Airy Health Doing business as
  • Frederick Health Physical Therapy and Sports Rehab Doing business as
  • Frederick Memorial Hospital Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000106 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0446149256 9 other NPIs on this enrollment
Practice locations: Brunswick, MD; Emmitsburg, MD; Frederick, MD; Mount Airy, MD

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Frederick Memorial Hospital36 organizations share this tax ID, including this one
Part of
Frederick Memorial Hospital

Other organizations with this tax ID 35

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

View all 35

Locations

1562 Opossumtown Pike
Ste 302
Frederick, MD 21702

194 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 418-6434

7211 Bank Ct
Ste 120
Frederick, MD 21703
Phone (240) 215-1425

9093 Ridgefield Dr
Ste 104A
Frederick, MD 21701

1502 S Main St
Ste 202
Mount Airy, MD 21771
Phone (301) 663-3137

1502 S Main St
Ste 303
Mount Airy, MD 21771
Phone (301) 829-5880

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1336145127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3330",
            "fax_number": "240-566-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024673",
            "telephone_number": "240-566-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK HEALTH HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK HEALTH HOSPITAL INC",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-721-4452",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMH Rose Hill Rehab, Mt. Airy Rehab, Crestwood Rehab. Mt. Airy Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FMH Rose Hill Rehab, Mt. Airy Rehab, Crestwood Rehab. Mt. Airy Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frederick Health Physical Therapy and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frederick Memorial Hospital Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.