NPIMap

Organization Active NPI

Connect Incorporated

  • Rehabilitation Clinic/Center
  • Frederick, MD
National Provider Identifier
1619647088
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CONNECT INCORPORATED
Practice address
9099 Ridgefield Dr Ste 103
Frederick, MD 21701-6714
Phone
(443) 414-8356
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Anthony Ifedirah
Title
Owner
Phone
(443) 443-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

9099 Ridgefield Dr Ste 103
Frederick, MD 21701-6714

Mailing address

9099 Ridgefield Dr Ste 103
Frederick, MD 21701-6714

Other names 1

  • Connect Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

9099 Ridgefield Dr
Ste 103
Frederick, MD 21701
Phone (443) 414-8356

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1619647088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 RIDGEFIELD DR STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9099 RIDGEFIELD DR STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016714",
            "telephone_number": "443-414-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "IFEDIRAH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-443-8356"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.