NPIMap

Organization Active NPI

Select Rehabilitation

  • Skilled Nursing Facility
  • Clinton, MD
National Provider Identifier
1609249689
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
18665 Issued in MD
Legal business name
SELECT REHABILITATION
Practice address
9211 Stuart LN
Clinton, MD 20735-2712
Phone
(301) 868-3600
Fax
(240) 318-2350
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Ms. Deborah Fisk Fletcher, PTNPI 1326964875
Title
Staff Physical Therapist
Phone
(301) 868-3600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 18665 MD
Skilled Nursing Facility 314000000X 18665 MD Primary

Addresses

Primary practice location

9211 Stuart LN
Clinton, MD 20735-2712

Mailing address

8103 Maxfield Dr
Clinton, MD 20735-2262
Phone (301) 742-8863

National Provider Directory

National Provider Directory
Tax ID family
Select Rehab6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1609249689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 MAXFIELD DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352262",
            "telephone_number": "301-742-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 STUART LN",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352712",
            "telephone_number": "301-868-3600",
            "fax_number": "240-318-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "FISK",
        "authorized_official_title_or_position": "STAFF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "301-868-3600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "18665",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "18665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.