Organization Active NPI

Firststep Rehab, LLC

  • Occupational Therapist
  • Upper Marlboro, MD
National Provider Identifier
1942978796
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FIRSTSTEP REHAB, LLC
Practice address
1717 Largo Rd
Upper Marlboro, MD 20774-8524
Phone
(240) 506-9345
NPI assigned
Sep 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2021

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

Authorized official

Name
Mr. Jay Walter Neal, DSCPT, BSPTNPI 1396769329
Title
Ceo/Owner
Phone
(410) 921-6846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1717 Largo Rd
Upper Marlboro, MD 20774-8524

Mailing address

1875 Candlelight CT
Owings, MD 20736-3616
Phone (410) 921-6846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015000953 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214268705 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owings, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
First Step Rehabilitation2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630713600000",
    "number": "1942978796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CANDLELIGHT CT",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207363616",
            "telephone_number": "410-921-6846",
            "fax_number": "855-494-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LARGO RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748524",
            "telephone_number": "240-506-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSTEP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "410-921-6846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DSCPT, BSPT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.