NPIMap

Organization Active NPI

Medical Rehabilitation Systems, LLC

  • Physical Therapist
  • Grantsville, MD
National Provider Identifier
1861500233
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MEDICAL REHABILITATION SYSTEMS, LLC
Practice address
12580 National Pike
Grantsville, MD 21536-3310
Phone
(301) 895-5793
Fax
(301) 358-6496
NPI assigned
Aug 27, 2006
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Kathy Flaminio
Title
Credentialing
Phone
(814) 602-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12580 National Pike
Grantsville, MD 21536-3310

Mailing address

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080201000506 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486547163 Receives reassigned benefits from 3 practitioners
Practice locations: Grantsville, MD
O20130419000136 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4486547163 Practice locations: Grantsville, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861500233. Details of each certification follow.

  • CCN 216697 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 216697

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MEDICAL REHAB SYSTEMS, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 27, 2013
Last certification
Apr 15, 2025
Ownership / control type
Proprietary
Facility address
12580 National Pike
Grantsville, MD 21536

National Provider Directory

National Provider Directory

Locations

104 Moores Grove Rd
#100
Winterville, GA 30683
Phone (706) 247-6821

105 Moores Grove Rd
Winterville, GA 30683
Phone (706) 742-0082

12580 National Pike
Grantsville, MD 21536
Phone (301) 895-5793

4538 Peach St
Lowr
Erie, PA 16509

500 Market St
Ste 103
West Bridgewater, PA 15009
Phone (724) 728-7550

500 Market St
Ste 104
West Bridgewater, PA 15009

13 Edgewood Dr
#A
Greenville, SC 29605
Phone (864) 288-4313

Practitioners & affiliated clinicians

Practitioners 92

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 92

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1861500233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091364",
            "telephone_number": "814-864-6650",
            "fax_number": "814-806-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12580 NATIONAL PIKE",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215363310",
            "telephone_number": "301-895-5793",
            "fax_number": "301-358-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "FLAMINIO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "814-602-2740"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, MD

Sources for this page

Verify at the official NPI Registry.