NPIMap

Organization Active NPI

Leadbetter Rehabilitation, LLC

Doing business as Leadbetter Hand and Physical Therapy

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1750734299
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20003 Issued in MD
Legal business name
LEADBETTER REHABILITATION, LLC
Doing business as
Leadbetter Hand and Physical Therapy
Practice address
8420 Gas House Pike
Suite U
Frederick, MD 21701-4971
Phone
(240) 651-0149
Fax
(240) 559-2624
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Roberta Bradle
Title
Practice Manager
Phone
(240) 651-0149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 20003 MD Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X

Addresses

Primary practice location

8420 Gas House Pike
Suite U
Frederick, MD 21701-4971

Mailing address

8420 Gas House Pike
Suite U
Frederick, MD 21701-4971
Phone (443) 414-9888

Other practice location 1

8927 Fingerboard Rd Ste A
Frederick, MD 21704-8164
Phone (240) 651-0149

Other names 1

  • Leadbetter Hand and Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170313000652 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921382995 Receives reassigned benefits from 9 practitioners
Practice locations: Frederick, MD
O20210309000740 MD DME Supplier - Independently-Practicing Occupational Therapist 8921382995 Practice locations: Frederick, MD

National Provider Directory

National Provider Directory
Tax ID family
Leadbetter Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8420 Gas House Pike
Ste U
Frederick, MD 21701
Phone (240) 559-2624

8927 Fingerboard Rd
Ste A
Urbana, MD 21704
Phone (240) 651-0149

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1750734299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 GAS HOUSE PIKE",
            "address_2": "SUITE U",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014971",
            "telephone_number": "443-414-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 GAS HOUSE PIKE",
            "address_2": "SUITE U",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014971",
            "telephone_number": "240-651-0149",
            "fax_number": "240-559-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8927 Fingerboard Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048164",
            "country_code": "US",
            "telephone_number": "240-651-0149",
            "fax_number": "240-559-2624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEADBETTER REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BRADLE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "240-651-0149"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20003",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leadbetter Hand and Physical Therapy",
            "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 Jun 19, 2025; 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.