NPIMap

Organization Active NPI

National Rehabilitation Hospital Inc

  • Rehabilitation Clinic/Center
  • MC Lean, VA
National Provider Identifier
1508932708
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NATIONAL REHABILITATION HOSPITAL INC
Practice address
1420 Beverly Rd Ste 210
MC Lean, VA 22101-3736
Phone
(301) 540-6140
Fax
(301) 540-5190
NPI assigned
Nov 28, 2006
Organization subpart
Yes
Parent organization
MEDSTAR HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
John Rockwood
Title
President
Phone
(301) 540-6140

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1420 Beverly Rd Ste 210
MC Lean, VA 22101-3736

Mailing address

102 Irving St NW
Attn: MHPT Payor Enrollment
Washington, DC 20010-2921
Phone (301) 540-6140

Other practice location 1

6805 Industrial Rd Ste 3100
Springfield, VA 22151-4206
Phone (301) 540-6140

Other practice location 2

6858 Old Dominion Dr Ste 200
Mc Lean, VA 22101-3832
Phone (301) 540-6140

Other names 2

  • MedStar Health Physical Therapy at McLean Doing business as
  • MedStar Health Physical Therapy at Springfield-The St James Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000310 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2769394097 1 other NPI on this enrollment
Practice locations: Arlington, VA; Woodbridge, VA; MC Lean, VA; Lorton, VA; Alexandria, VA

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Medstar Health Inc

Locations

1420 Beverly Rd
Fl 2
McLean, VA 22101
Phone (703) 288-8260

6805 Industrial Rd
Ste 3100
Springfield, VA 22151
Phone (703) 256-2171

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Medstar Health Physical TherapyWashington, DC, CCN 093025 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1999

Owned or controlled facilities with NPI records 2

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1508932708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "address_2": "ATTN: MHPT PAYOR ENROLLMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BEVERLY RD STE 210",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013736",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6805 Industrial Rd Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221514206",
            "country_code": "US",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6858 Old Dominion Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013832",
            "country_code": "US",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL REHABILITATION HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAR HEALTH, INC.",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ROCKWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-540-6140"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd Ste 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MedStar Health Physical Therapy at McLean",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedStar Health Physical Therapy at Springfield-The St James",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.