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

1420 Beverly Rd Ste 210a
MC Lean, VA 22101-3732

Phone

(301) 540-6140

Fax

(301) 540-5190

NPI assigned

Jan 22, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIONAL REHABILITATION HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

John David 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

Medical Affairs Nationa

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
  • Arlington, VA
  • NPI 1609553494
  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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1609637032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "address_2": "ATTN: MHPT PAYOR ENROLLMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102949",
            "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": "1420 BEVERLY RD STE 210A",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013732",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190"
        }
    ],
    "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": "2024-01-22",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ROCKWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-540-6140"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_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 McLean, VA
• Providers in McLean, 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.