Organization Active NPI

Rehabilitation of Frederick

  • Rehabilitation Clinic/Center
  • Frederick, MD
National Provider Identifier
1801046172
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
04628 Issued in MD
Legal business name
REHABILITATION OF FREDERICK
Practice address
85 Thomas Johnson CT Ste C
Frederick, MD 21702-4331
Phone
(301) 682-9110
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Timothy V. Jones, OTR/L, CHT
Title
President
Phone
(301) 982-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 04628 MD Primary

Addresses

Primary practice location

85 Thomas Johnson CT Ste C
Frederick, MD 21702-4331

Mailing address

85 Thomas Johnson CT Ste C
Frederick, MD 21702-4331
Phone (301) 682-9110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1801046172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024331",
            "telephone_number": "301-682-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024331",
            "telephone_number": "301-682-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION OF FREDERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-982-9110",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": "04628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 23, 2008; 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.