Organization Active NPI

Lifespan Rehab LLC.

  • Physical Therapy Clinic/Center
  • Dundalk, MD
National Provider Identifier
1861851164
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20389 Issued in MD
Legal business name
LIFESPAN REHAB LLC.
Practice address
316 German Hill Rd
First Floor
Dundalk, MD 21222-1514
Phone
(443) 879-9495
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Mrs. Erika Monique Rauscher, PT
Title
Managing Member/Physical Therapist
Phone
(443) 879-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20389 MD Primary

Addresses

Primary practice location

316 German Hill Rd
First Floor
Dundalk, MD 21222-1514

Mailing address

316 German Hill Rd
First Floor
Dundalk, MD 21222-1514
Phone (443) 879-9495

National Provider Directory

National Provider Directory

Locations

316 German Hill Rd
Ste 1
Dundalk, MD 21222
Phone (443) 879-9495

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1861851164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 GERMAN HILL RD",
            "address_2": "FIRST FLOOR",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221514",
            "telephone_number": "443-879-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 GERMAN HILL RD",
            "address_2": "FIRST FLOOR",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221514",
            "telephone_number": "443-879-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN REHAB LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "RAUSCHER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGING MEMBER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-879-9495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.