Venture Rehab, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

07244 Issued in MD

Legal business name

VENTURE REHAB, LLC

Practice address

5 Hawthorne Ave
Pikesville, MD 21208-4815

Phone

(540) 327-3368

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janell Wilson, OTR/L

Title

Owner

Phone

(540) 327-3368

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1407361835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAWTHORNE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084815",
            "telephone_number": "540-327-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAWTHORNE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084815",
            "telephone_number": "540-327-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-327-3368",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": "07244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.