Maryland Health, Wellness, and Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MARYLAND HEALTH, WELLNESS, AND REHABILITATION, LLC

Practice address

7542 Rain Flower Way
Columbia, MD 21046-2438

Phone

(602) 332-2490

NPI assigned

Apr 26, 2015

Organization subpart

No

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

Authorized official

Name

Roel Manuel Evangelista

Title

Managing Member

Phone

(602) 332-2490

Specialties & licenses 2

Addresses

Other names 1

• mdwellnessandrehab Other name

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1346637550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 RAIN FLOWER WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462438",
            "telephone_number": "602-332-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 RAIN FLOWER WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462438",
            "telephone_number": "602-332-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEALTH, WELLNESS, AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "ROEL MANUEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-332-2490"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mdwellnessandrehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryland CVS Pharmacy LLC (CVS Pharmacy # 10094)
• Maryland Dental Wellness, L.L.C. (Columbia Dental Wellness)
• Maryland Endocrine, P.a.
• Maryland Family Care, Inc.
• Maryland Family Care, Inc.
• Maryland Home Care of Howard County, LLC (Griswold Home Care)
• Maryland Infectious Disease Clinic, LLC
• Maryland Ivf Fertility Health & Wellness Center (Maryland Ivf)
• Maryland Ivf Health & Wellness Center (Maryland IVF)
• Maryland Lip and Tongue Tie Center LLC (Maryland Lip & Tongue Tie Center)

• Physical Therapy Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.