NPIMap

Organization Active NPI

Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
National Provider Identifier
1891472684
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MEDSTAR HEALTH PHYSICAL THERAPY AT HOME, LLC.
Practice address
10980 Grantchester Way Ste 5211
Columbia, MD 21044-6097
Phone
(443) 690-1037
Fax
(301) 540-5190
NPI assigned
Jul 3, 2023
Organization subpart
Yes
Parent organization
NATIONAL REHABILITATION HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
John Rockwood
Title
President
Phone
(301) 540-6140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

10980 Grantchester Way Ste 5211
Columbia, MD 21044-6097

Mailing address

102 Irving Street, NW
Attn: John Rockwood
Washington, DC 20010-2921
Phone (301) 540-6140

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821003710 MD Part B Supplier - Clinic/Group Practice 7012379134 Receives reassigned benefits from 75 practitioners
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory
Tax ID family
Cobius Healthcare Solutions3 organizations share this tax ID, including this one
Part of
National Rehabilitation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10980 Grantchester Way
Ste 5211
Columbia, MD 21044
Phone (443) 690-1037

Practitioners & affiliated clinicians

Practitioners 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1891472684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING STREET, NW",
            "address_2": "ATTN: JOHN ROCKWOOD",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10980 GRANTCHESTER WAY STE 5211",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446097",
            "telephone_number": "443-690-1037",
            "fax_number": "301-540-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HEALTH PHYSICAL THERAPY AT HOME, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL REHABILITATION HOSPITAL, INC.",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ROCKWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-540-6140"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd Ste 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.