ATLANTIC REHAB, INC (NPI# 1003855461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003855461 |
| Entity Type | Organization |
| Organization Name | ATLANTIC REHAB, INC |
| Practice Address |
5 Crain Hwy N Suite 103 Glen Burnie MD 21061-2803 |
| Practice Telephone | 4107689500 |
| Practice Fax Number | 4107685200 |
| Mailing Telephone | 4107689500 |
| Mailing Fax Number | 4107685200 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RONALD M. KELCH (DIRECTOR) |
| Authorized Official Telephone | 4107689500 |
| Authorized Official Credential | PTA, MS, JSCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
A1924 | MD | Ambulatory Health Care Facilities |
| Street Address |
5 CRAIN HWY N SUITE 103 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568994234 | Robert A. Pascal Youth & Family Services, Inc. | Community/Behavioral Health | 5 Crain Hwy N, Glen Burnie, MD 21061-2803 | 2017-03-31 |
| 1700234531 | Robert A. Pascal Youth & Family Services, Inc. | Counselor | 5 Crain Hwy N, Glen Burnie, MD 21061-2803 | 2016-06-02 |
| 1679920938 | Smile Up Dental Center | Dentist | 5 Crain Hwy N, Glen Burnie, MD 21061-2803 | 2016-05-17 |
| 1598708471 | Mark L. Miller | Physical Therapist | 5 Crain Hwy N, Suite 103, Glen Burnie, MD 21061-2803 | 2006-06-14 |
| 1790727618 | Robert D. Dowd | Physical Therapist | 5 Crain Hwy N, Suite 103, Glen Burnie, MD 21061-2803 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1053320457 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 811 Cromwell Park Drive, Suite 104, Glen Burnie, MD 21061 | 2006-08-05 |
| 1366812331 | Atlas Physical Therapy & Associates, LLC | Clinic/Center | 1406 Crain Hwy S, Suite 110, Glen Burnie, MD 21061-4058 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| 1417570532 | Beyond Movement Physical Therapy, LLC | Clinic/Center | 47 Loveton Cir Ste P, Sparks, MD 21152-9216 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.