Advanced Rehab Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ADVANCED REHAB CENTER LLC

Doing business as

Advanced Rehab Center (ARC)

Practice address

1027 Bay Ridge Ave
Annapolis, MD 21403-3031

Phone

(410) 990-9017

Fax

(410) 990-1085

NPI assigned

Dec 2, 2016

Last updated

Dec 2, 2016By 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

Mr. Michael Kevin Myers

Title

President

Phone

(410) 990-9017

Specialties & licenses 1

Addresses

Other names 1

• Advanced Rehab Center (ARC) Doing business as

Locations

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1528501913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 BAY RIDGE AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033031",
            "telephone_number": "410-990-9017",
            "fax_number": "410-990-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BAY RIDGE AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033031",
            "telephone_number": "410-990-9017",
            "fax_number": "410-990-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-990-9017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehab Center (ARC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.