NPIMap

Organization Active NPI

Flagship Rehabilitation, Inc

  • Physical Therapist
  • Middletown, PA
National Provider Identifier
1649311523
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLAGSHIP REHABILITATION, INC
Practice address
999 W Harrisburg Pike
Middletown, PA 17057-4801
Phone
(717) 902-1000
NPI assigned
Feb 12, 2007
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Mr. William Erdice Freas Jr., CCC-SLP
Title
Ceo
Phone
(301) 722-3215

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

999 W Harrisburg Pike
Middletown, PA 17057-4801

Mailing address

157 Baltimore St
Suite 201
Cumberland, MD 21502-2319
Phone (301) 722-3215

Other practice location 1

5225 Wilson Ln
Mechanicsburg, PA 17055-6663
Phone (717) 591-8331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000167 PA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6608777552 3 other NPIs on this enrollment
Practice locations: Middletown, PA; Waynesboro, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Flagship Rehabilitation Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friends Services Alliance (Fsa)Baltimore, MD, CCN 215037 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 15, 2015
Feb 7, 2025
Ingleside at King FarmRockville, MD, CCN 215353 Skilled nursing facility Adp of the SNF Sep 1, 2010
Westminster at Lake RidgeLake Ridge, VA, CCN 495280 Skilled nursing facility Adp of the SNF Jan 1, 2015
Ingleside at Rock CreekWashington, DC, CCN 095028 Skilled nursing facility Adp of the SNF Jan 1, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1649311523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022319",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W HARRISBURG PIKE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170574801",
            "telephone_number": "717-902-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Wilson Ln",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170556663",
            "country_code": "US",
            "telephone_number": "717-591-8331",
            "fax_number": "717-591-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLAGSHIP REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "FREAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ERDICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-722-3215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.