Active NPI
Rehabilitaton Services of Greater Washington LLC
- Hand Occupational Therapist
- Silver Spring, MD
National Provider Identifier
1871961300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 01884
- Legal business name
- REHABILITATON SERVICES OF GREATER WASHINGTON LLC
- Practice address
- 9801 Georgia Ave
Suite 111
Silver Spring, MD 20902-5276 - Phone
- (301) 592-0026
- Fax
- (301) 592-0028
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Dovelle, OT/CHT
- Title
- Owner/Practitioner
- Phone
- (301) 881-4610
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20849 | MD | |
| Physical Therapist | 225100000X | 22635 | MD | |
| Hand Occupational Therapist | 225XH1200X | 01884 | MD | Primary |
| Hand Occupational Therapist | 225XH1200X | 01450 | MD | |
| Hand Occupational Therapist | 225XH1200X | 06977 | MD | |
| Hand Occupational Therapist | 225XH1200X | 07005 | MD |
Addresses
Primary practice location
9801 Georgia Ave
Suite 111
Silver Spring, MD 20902-5276
Mailing address
3200 Tower Oaks Blvd
Suite 450
Rockville, MD 20852-4216
Phone (301) 881-4610
National Provider Directory
National Provider Directory- Tax ID family
- Rehabilitation Services of Greater Washington LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hand Occupational Therapist
- Greenbelt, MD
- NPI 1639547169
Locations
3200 Tower Oaks Blvd
Ste 450
Rockville, MD 20852
Phone (301) 881-4610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1871961300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 TOWER OAKS BLVD",
"address_2": "SUITE 450",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524216",
"telephone_number": "301-881-4610",
"fax_number": "301-881-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 GEORGIA AVE",
"address_2": "SUITE 111",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025276",
"telephone_number": "301-592-0026",
"fax_number": "301-592-0028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATON SERVICES OF GREATER WASHINGTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "DOVELLE",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "301-881-4610",
"authorized_official_credential": "OT/CHT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "20849",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "22635",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "MD",
"license": "01884",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "MD",
"license": "01450",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "MD",
"license": "06977",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "MD",
"license": "07005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.