Organization Active NPI

Melwood Rehabilitation Center Inc

  • Physical Therapist
  • Upper Marlboro, MD
National Provider Identifier
1588737571
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20955 Issued in MD
Legal business name
MELWOOD REHABILITATION CENTER INC
Practice address
9500 Pennsylvania Ave Ste 6
Upper Marlboro, MD 20772-3658
Phone
(301) 599-8420
Fax
(301) 599-8280
NPI assigned
Nov 16, 2006
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Rafik A Tarfa, PT, MS, DPTNPI 1306844493
Title
Owner
Phone
(301) 599-8420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15222 MD
Physical Therapist 225100000X 20955 MD Primary
Occupational Therapist 225X00000X 04073 MD

Addresses

Primary practice location

9500 Pennsylvania Ave Ste 6
Upper Marlboro, MD 20772-3658

Mailing address

9500 Pennsylvania Ave Ste 6
Upper Marlboro, MD 20772-3658
Phone (301) 599-8420

Other identifiers 1

IdentifierTypeStateIssuer
1306844493OtherMDNPI INDIVADUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090320000472 DC Part B Supplier - Clinic/Group Practice 2466556121 Receives reassigned benefits from 2 practitioners
Practice locations: Upper Marlboro, MD; Waldorf, MD
O20130731000461 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466556121 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory
Tax ID family
Melwood Rehabilitation Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1588737571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 PENNSYLVANIA AVE STE 6",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723658",
            "telephone_number": "301-599-8420",
            "fax_number": "301-599-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 PENNSYLVANIA AVE STE 6",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723658",
            "telephone_number": "301-599-8420",
            "fax_number": "301-599-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELWOOD REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "TARFA",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-599-8420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, MS, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15222",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20955",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVADUAL",
            "identifier": "1306844493",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.