Advantage Fitness & Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ADVANTAGE FITNESS & REHABILITATION LLC

Practice address

6336 Cedar LN
Suite 150
Columbia, MD 21044-3897

Phone

(410) 750-7500

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Louis Grimmel Sr.

Title

Vice President

Phone

(410) 750-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Graham Pitts, MSCCC-SLP

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1396908885
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1538326533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 CEDAR LN",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443897",
            "telephone_number": "410-750-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 CEDAR LN",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443897",
            "telephone_number": "410-750-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE FITNESS & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "GRIMMEL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-750-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Columbia, MD
• Providers in Columbia, 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 May 19, 2008; 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.