Organization Active NPI

Wondafrash Rehab LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hyattsville, MD
National Provider Identifier
1609580281
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
WONDAFRASH REHAB LLC
Practice address
5805 Queens Chapel Rd
Hyattsville, MD 20782-3867
Phone
(301) 277-6500
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Marcus TeshomeNPI 1891722948
Title
Owner
Phone
(215) 432-6315

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary
Occupational Medicine Clinic/Center 261QX0100X
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

5805 Queens Chapel Rd
Hyattsville, MD 20782-3867

Mailing address

306 W Redwood St Ste 200
Baltimore, MD 21201-1708
Phone (215) 432-6315

Other practice location 1

14904 Richmond Hwy Ste 209
Woodbridge, VA 22191-3908
Phone (215) 432-6315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016000286 DC Part B Supplier - Clinic/Group Practice 6507364981 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

14904 Richmond Hwy
Ste 209
Woodbridge, VA 22191
Phone (215) 432-6315

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1609580281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W REDWOOD ST STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011708",
            "telephone_number": "215-432-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823867",
            "telephone_number": "301-277-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14904 Richmond Hwy Ste 209",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913908",
            "country_code": "US",
            "telephone_number": "215-432-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WONDAFRASH REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "TESHOME",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-432-6315"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.