Excellent Physical Rehabilitation Network, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXCELLENT PHYSICAL REHABILITATION NETWORK, LLC

Doing business as

Excellent Physical Rehabilitation Network, LLC

Practice address

2722 Silver Hammer Way
Brookeville, MD 20833-3243

Phone

(240) 507-0114

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Rey Felix L Bugash, PT

Title

Resident Agent

Phone

(240) 507-0114

Specialties & licenses 1

Addresses

Other names 1

• Excellent Physical Rehabilitation Network, LLC Doing business as

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1952158917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 SILVER HAMMER WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333243",
            "telephone_number": "240-507-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 SILVER HAMMER WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333243",
            "telephone_number": "240-507-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT PHYSICAL REHABILITATION NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "BUGASH",
        "authorized_official_first_name": "REY FELIX",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "240-507-0114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellent Physical Rehabilitation Network, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alissa Joy Dalgewicz Cole
• Aislinn Cunningham, RBT
• Jason B Deitz
• Emerald MTM Groups
• Erinma LLC
• Jill Suzanne Fonda Allen, M.S.
• Fowkes Consulting Co.
• Gabriella Oasan Galang, CCC-SLP
• Cynthia Kay Glass, LCSW-C
• Jill Robin Grodofsky, MA, CCC-SLP

• Physical Therapy Clinic/Center in Brookeville, MD
• Providers in Brookeville, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.