Magnolia Rehabilitation Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MAGNOLIA REHABILITATION SERVICES, LLC

Practice address

1710 Underpass Way Ste 201
Hagerstown, MD 21740-6968

Phone

(301) 745-8700

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

John Perini

Title

President

Phone

(301) 745-8700

Specialties & licenses 3

Addresses

Practitioners 1

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

• Ali Vaez Gammi, CCC.SLP

  • Speech-Language Pathologist
  • Hagerstown, MD
  • NPI 1730207929
  NPD

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1841630449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 UNDERPASS WAY STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406968",
            "telephone_number": "301-745-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 UNDERPASS WAY STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406968",
            "telephone_number": "301-745-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-745-8700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Eriksen Madeo, LCSW-C
• Kaitlyn Mades, RDH
• Michael T Madsen
• John B Maggioncalda, MD
• Magnolia Counseling Services, LLC
• Shahid Mahmood, M.D,
• Syed Shahid Mahmood, M.D.
• Umar Mahmood
• Berline Florence Mahound
• Eric Maiorino, M.D.

• Occupational Therapist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.