Organization Active NPI

Progressive Rehab Services

  • Rehabilitation Clinic/Center
  • Chestertown, MD
National Provider Identifier
1629491030
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PROGRESSIVE REHAB SERVICES
Practice address
415 Morgnec Rd
Rehab Department
Chestertown, MD 21620-1046
Phone
(410) 778-1900
Fax
(443) 548-0904
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Harsh D Shende
Title
Executive Director
Phone
(410) 312-7631

Specialties & licenses 1

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

Addresses

Primary practice location

415 Morgnec Rd
Rehab Department
Chestertown, MD 21620-1046

Mailing address

10015 Old Columbia Rd
Suite B 215
Columbia, MD 21046-1703
Phone (410) 312-7631

National Provider Directory

National Provider Directory

Locations

10015 Old Columbia Rd
Ste B215
Columbia, MD 21046
Phone (410) 312-7631

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1629491030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD",
            "address_2": "SUITE B 215",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461703",
            "telephone_number": "410-312-7631",
            "fax_number": "410-510-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MORGNEC RD",
            "address_2": "REHAB DEPARTMENT",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201046",
            "telephone_number": "410-778-1900",
            "fax_number": "443-548-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "SHENDE",
        "authorized_official_first_name": "HARSH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-312-7631"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.