Medstar Health Physical Therapy at Home, LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MEDSTAR HEALTH PHYSICAL THERAPY AT HOME, LLC.

Practice address

4040 Fairfax Dr Ste 120a
Arlington, VA 22203-1613

Phone

(703) 292-4060

Fax

(703) 292-4066

NPI assigned

Jul 3, 2023

Organization subpart

Yes

Parent organization

NATIONAL REHABILITATION HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

John Rockwood

Title

President

Phone

(301) 540-6140

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Cobius Healthcare Solutions3 organizations share this tax ID, including this one

Part of

National Rehabilitation

Other organizations with this tax ID 2

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

• Medstar Health Physical Therapy at Home, LLC.

  • Physical Therapist
  • McLean, VA
  • NPI 1609637032
  NPD tax ID
• Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1891472684
  NPD tax ID

Locations

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1609553494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING STREET, 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": "4040 FAIRFAX DR STE 120A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031613",
            "telephone_number": "703-292-4060",
            "fax_number": "703-292-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HEALTH PHYSICAL THERAPY AT HOME, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL REHABILITATION HOSPITAL, INC",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ROCKWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-540-6140"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "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": []
}

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• Physical Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.