NPIMap

Organization Active NPI

Flagship Rehabilitation, Inc.

  • Physical Therapist
  • Sandy Spring, MD
National Provider Identifier
1487760799
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLAGSHIP REHABILITATION, INC.
Practice address
18131 Slade School Rd
Sandy Spring, MD 20860-1346
Phone
(301) 260-1690
Fax
(301) 260-1075
NPI assigned
Aug 21, 2006
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mr. William E Freas Jr., CCC-SLP
Title
Ceo
Phone
(301) 722-3215

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

18131 Slade School Rd
Sandy Spring, MD 20860-1346

Mailing address

157 Baltimore St
Suite 201
Cumberland, MD 21502-2319
Phone (301) 722-3215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000056 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6608777552 Practice locations: Leonardtown, MD; Sandy Spring, MD; Annapolis, MD; Rockville, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487760799. Details of each certification follow.

  • CCN 216665 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 216665

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FLAGSHIP REHABILITATION INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 22, 2002
Last certification
May 31, 2024
Ownership / control type
Proprietary
Facility address
18131 Slade School Road
Sandy Spring, MD 20860

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Flagship Rehabilitation Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friends Services Alliance (Fsa)Baltimore, MD, CCN 215037 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 15, 2015
Feb 7, 2025
Ingleside at King FarmRockville, MD, CCN 215353 Skilled nursing facility Adp of the SNF Sep 1, 2010
Westminster at Lake RidgeLake Ridge, VA, CCN 495280 Skilled nursing facility Adp of the SNF Jan 1, 2015
Ingleside at Rock CreekWashington, DC, CCN 095028 Skilled nursing facility Adp of the SNF Jan 1, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1487760799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022319",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18131 SLADE SCHOOL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601346",
            "telephone_number": "301-260-1690",
            "fax_number": "301-260-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSHIP REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "FREAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-722-3215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "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": []
}

Other providers in Sandy Spring, MD

Sources for this page

Verify at the official NPI Registry.