MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE – NPI #1538546213
Clinic/Center

MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE is an AHC clinic located in WALDORF, MD. NPPES has assigned the NPI number 1538546213 to MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE on May 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE” is a dba name, the actual legal business name for this organization is NATIONAL REHABILITATION HOSPITAL, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

The NPI profile was previously updated about 2 years ago on Jan 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE below.

NPI Profile for
NATIONAL REHABILITATION HOSPITAL, INC.

NPI Number
1538546213
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NATIONAL REHABILITATION HOSPITAL, INC.
Doing Business As (dba): MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE
Primary location
11325 PEMBROOKE SQ
SUITE 115
WALDORF, MD 20603-4807
Phone: (301) 719-1146 Fax: (301) 645-5343
Mailing address
102 IRVING ST NW
ATTN: MHPT PAYOR ENROLLMENT
WASHINGTON, DC 20010-2949
Phone: (301) 540-6140 Fax: (301) 540-5190
Organization Subpart
Yes - MEDSTAR HEALTH PHYSICAL THERAPY AT WALDORF PEMBROOKE SQUARE is subpart of another organization.
Authorized Official
JOHN ROCKWOOD
PRESIDENT
Phone: (301) 540-6140
Updated
Certification Date
Jan 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.