NPIMap

Organization Active NPI

Lea's Place LLC

Doing business as MD Neuro Rehab & Wellness Center

  • Neurorehabilitation Occupational Therapist
  • Pikesville, MD
National Provider Identifier
1649890633
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
Legal business name
LEA'S PLACE LLC
Doing business as
MD Neuro Rehab & Wellness Center
Practice address
1848 Reisterstown Rd
Pikesville, MD 21208-1379
Phone
(443) 360-5527
NPI assigned
Apr 20, 2020
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Ms. Lea Sternbach, OTR/LNPI 1144685009
Title
Director/Owner
Phone
(443) 360-5527

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Neurorehabilitation Occupational Therapist 225XN1300X NU Primary

Addresses

Primary practice location

1848 Reisterstown Rd
Pikesville, MD 21208-1379

Mailing address

6202 Gist Ave
Baltimore, MD 21215-3608
Phone (410) 292-8725

Other identifiers 1

IdentifierTypeStateIssuer
07832OtherMDMBOTP (MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE

Other names 1

  • MD Neuro Rehab & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528001901 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305267451 Receives reassigned benefits from 14 practitioners
Practice locations: Pikesville, MD; Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1848 Reisterstown Rd
Ste A
Pikesville, MD 21208
Phone (410) 292-8725

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1649890633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 GIST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153608",
            "telephone_number": "410-292-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081379",
            "telephone_number": "443-360-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "STERNBACH",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "443-360-5527",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBOTP (MARYLAND  BOARD OF OCCUPATIONAL THERAPY PRACTICE",
            "identifier": "07832",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Neuro Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.