NPIMap

Organization Active NPI

Rebound Health and Wellness Services Inc

  • Neurology Physician
  • Washington, DC
National Provider Identifier
1609414994
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
REBOUND HEALTH AND WELLNESS SERVICES INC
Practice address
4645 Nannie Helen Burroughs Ave NE Ste 101
Washington, DC 20019-3622
Phone
(202) 459-9866
Fax
(888) 316-9392
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Elston Eugene Johnson
Title
Ceo/President
Phone
(202) 459-9866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4645 Nannie Helen Burroughs Ave NE Ste 101
Washington, DC 20019-3622

Mailing address

4645 Nannie Helen Burroughs Ave NE
Washington, DC 20019-3622
Phone (202) 459-9866

Other identifiers 1

IdentifierTypeStateIssuer
400316002097OtherDCBASIC BUSINESS LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Rebound@reboundhealthandwellness.net
Direct Messaging Address Rebound@reboundhealthandwellness.net

National Provider Directory

National Provider Directory

Locations

4645 Nannie Helen Burroughs Ave NE
Ste 101
Washington, DC 20019
Phone (202) 459-9866

Practitioners & affiliated clinicians

Practitioners 2

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": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1609414994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193622",
            "telephone_number": "202-459-9866",
            "fax_number": "888-316-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NANNIE HELEN BURROUGHS AVE NE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193622",
            "telephone_number": "202-459-9866",
            "fax_number": "888-316-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND HEALTH AND WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELSTON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "202-459-9866"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC BUSINESS LICENSE",
            "identifier": "400316002097",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebound@reboundhealthandwellness.net",
            "affiliation": "N",
            "address_1": "4645 Nannie Helen Burroughs Ave NE Ste 101",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200193622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebound@reboundhealthandwellness.net",
            "affiliation": "N",
            "address_1": "4645 Nannie Helen Burroughs Ave NE Ste 101",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200193622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.