Maryland Medical Rehabilitation, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0046464 Issued in MD

Legal business name

MARYLAND MEDICAL REHABILITATION, P.C.

Practice address

2530 N Charles St
Suite 102
Baltimore, MD 21218-4640

Phone

(410) 685-1188

Fax

(410) 685-1889

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Doriscine Lenay Colley, M.D.NPI 1619002649

Title

President/Medical Director

Phone

(410) 685-1188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doriscine Lenay Colley, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Glenn Dale, MD
  • NPI 1619002649
  NPD (past) Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1942578919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6553",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210456553",
            "telephone_number": "410-685-1188",
            "fax_number": "410-685-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N CHARLES ST",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184640",
            "telephone_number": "410-685-1188",
            "fax_number": "410-685-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MEDICAL REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "DORISCINE",
        "authorized_official_middle_name": "LENAY",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-685-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0046464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Interventional Pain Management, LLC (Baltimore Pain Relief Center)
• Maryland Kidney Associates, LLC
• Maryland Kidney Group PA
• Maryland Medical Day Services, LLC
• Maryland Medical First P.a.
• Maryland Metro Rehab LLC
• Maryland Nephrology Clinic LLC
• Maryland Neuroophthalmology, LLC
• Maryland Nuclear Medicine Associates
• Maryland Pharmacists Association

• Physical Medicine & Rehabilitation Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.