Health Management and Rehabilitation LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

0101254569 Issued in VA

Legal business name

HEALTH MANAGEMENT AND REHABILITATION LLC

Practice address

13907 Willow Tree Dr
Rockville, MD 20850-5434

Phone

(240) 778-3761

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Jayarathne Kottage, MDNPI 1043236284

Title

Owner

Phone

(240) 778-3761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Health Management and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Health Management and Rehabilitation LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fredericksburg, VA
  • NPI 1902358625
  NPD tax ID

Locations

Practitioners 2

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

• Jayarathne Kottage, MD

  • Specialist
  • Fredericksburg, VA
  • NPI 1043236284
  Medicare reassignment NPD Authorized official
• Yugandhara Reddy Devarapalli, M.D

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1467791160
  NPD (past)

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1922429935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13907 WILLOW TREE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505434",
            "telephone_number": "240-778-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 WILLOW TREE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505434",
            "telephone_number": "240-778-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MANAGEMENT AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "KOTTAGE",
        "authorized_official_first_name": "JAYARATHNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-778-3761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101254569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.