NPIMap

Organization Active NPI

National Rehabilitation Hospital, Inc

Doing business as MedStar Health Physical Therapy at Reisterstown

  • Rehabilitation Clinic/Center
  • Reisterstown, MD
National Provider Identifier
1568202075
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NATIONAL REHABILITATION HOSPITAL, INC
Doing business as
MedStar Health Physical Therapy at Reisterstown
Practice address
116 Westminster Pike Ste 100
Reisterstown, MD 21136-1056
Phone
(410) 833-9300
Fax
(435) 450-2724
NPI assigned
May 31, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDSTAR HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

116 Westminster Pike Ste 100
Reisterstown, MD 21136-1056

Mailing address

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

Other names 1

  • MedStar Health Physical Therapy at Reisterstown 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 MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912001395 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2769394097 Practice locations: Reisterstown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568202075. Details of each certification follow.

  • CCN 216728 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 216728

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
MEDSTAR HEALTH PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 7, 2024
Last certification
Nov 7, 2024
Ownership / control type
Proprietary
Facility address
116 Westminster Pike, Ste 100
Reisterstown, MD 21136

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
National Rehabilitation75 organizations share this tax ID, including this one
Part of
NRH Regional Rehab at Olney Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

116 Westminster Pike
Ste 100A
Reisterstown, MD 21136

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": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1568202075",
    "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": "116 WESTMINSTER PIKE STE 100",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361056",
            "telephone_number": "410-833-9300",
            "fax_number": "435-450-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL REHABILITATION HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAR HEALTH, INC.",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "ROCKWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-540-6140"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Reisterstown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedStar Health Physical Therapy at Reisterstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.