Active NPI
Nisrin Abdel Rahman
- Physical Therapist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26457
- Practice address
- 7080 Deepage Dr
Columbia, MD 21045-5219 - Phone
- (410) 381-7000
- NPI assigned
- Jun 30, 2017
- Last updated
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26457 | MD | Primary |
Addresses
Primary practice location
7080 Deepage Dr
Columbia, MD 21045-5219
Mailing address
PO Box 69014
Baltimore, MD 21264-9014
Phone (410) 885-4616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2875 Crain Hwy
Suite 6
Waldorf, MD 20601-2841
Phone (301) 859-3304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26457 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
7080 Deepage Dr
Columbia, MD 21045
Phone (301) 498-2212
3551 Washington Blvd
Lansdowne, MD 21227
Phone (443) 566-4260
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
2875 Crain Hwy
Ste 6
Waldorf, MD 20601
Phone (301) 859-3304
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1720445174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1386165231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69014",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649014",
"telephone_number": "410-885-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7080 DEEPAGE DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455219",
"telephone_number": "410-381-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEL RAHMAN",
"first_name": "NISRIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.