Medical Rehabilitation Systems, LLC
Organization Active NPI Physical Therapist · Grantsville, MD
NPI 1861500233 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1861500233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Kathy Flaminio
- Title
- Credentialing
- Phone
- (814) 602-2740
Practitioners 92
-
Tyler Pritts, DPT
-
Dona Marie Alvarez, M.D.
-
Christopher Daron Baker, PA-C
-
Jeffrey J Bernstein, M.D.
-
Rishi Bhatnagar, M.D.
-
Jacquelynn Lorena Browning, APRN, NP-C
-
Kenneth Robert Buczynski, M.D.
-
Greta J Cain, CRNP
-
Sarah Meredith Call, M.D.
-
Cathy A Cimaglia, DPM
-
Luis Raul Colon-Mulero, M.D.
-
Todd William Feathers, M.D.
-
Jessica Rhae Grove, MSN, FNP-C
-
Jade Hensinger, PHYSICIAN ASSISTANT
-
Lisa W Jenkins, CRNP
-
Amanda Lynn Kamp, CRNP
-
Shiv C Khanna, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
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
4538 Peach St
Erie, PA 16509
Phone (814) 864-6650
500 Market St
Ste 104
West Bridgewater, PA 15009
13 Edgewood Dr
#A
Greenville, SC 29605
Phone (864) 288-4313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
12580 National Pike
Grantsville, MD 21536-3310
Mailing address
4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891844-01 | Other | MD | CAREFIRST BCBS OF MD |
Other providers in Grantsville, MD
- Kaitlin N Lowery
- Kenneth R Mankamyer
- Karl Weston Maust
- Nathan Gregory Maust
- Meadow Mountain Drug Treatment Program
- Crystal A Merrill
- Hannah Mackenzie Metz
- Jonathan B Miller
- Jonathan J Miller
- Moonglade Integrative LLC
All providers in Grantsville, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.