Organization Active NPI

Lesco Rehab LLC

  • Physical Therapy Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1720502123
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LESCO REHAB LLC
Practice address
9081 Florin Way
Upper Marlboro, MD 20772-5239
Phone
(301) 909-3059
NPI assigned
Jul 28, 2017
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
April Nafus
Title
Credentialing
Phone
(570) 901-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9081 Florin Way
Upper Marlboro, MD 20772-5239

Mailing address

9081 Florin Way
Upper Marlboro, MD 20772-5239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1720502123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9081 FLORIN WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 FLORIN WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725239",
            "telephone_number": "301-909-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESCO REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "NAFUS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "570-901-1957"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.