WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC (NPI# 1104240845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104240845 |
| Entity Type | Organization |
| Organization Name | WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC |
| Practice Address |
7610 Pennsylvania Ave District Heights MD 20747-4701 |
| Mailing Address |
8701 Hayshed Ln Apt 34 Columbia MD 21045-2841 |
| Practice Telephone | 3018173001 |
| Mailing Telephone | 2404604661 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | DR. JUSTIN WALTROUS (OWNER) |
| Authorized Official Telephone | 2404604661 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D77249 | MD | Ambulatory Health Care Facilities |
| Street Address |
7610 PENNSYLVANIA AVE |
| City | DISTRICT HEIGHTS |
| State | MD |
| Zip Code | 20747-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326505124 | Dakeda Hilliard | Social Worker | 7610 Pennsylvania Ave, District Heights, MD 20747-4701 | 2019-02-27 |
| 1770872046 | Basics Group Practice | Counselor | 7610 Pennsylvania Ave, Suite 103, District Heights, MD 20747-4701 | 2011-04-07 |
| 1710291083 | Ibrahim Im Salih Md PC | Family Medicine | 7610 Pennsylvania Ave, Suite 200, District Heights, MD 20747 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295511 | Potomac Medical Aesthetics, LLC | Clinic/Center | 7811 Montrose Rd Ste 310, Potomac, MD 20854-3330 | 2020-05-01 |
| 1215576079 | Alexander Heilner | Clinic/Center | 614 Hollen Rd, Baltimore, MD 21212-2715 | 2019-12-27 |
| 1184288003 | Mjd Chiropractic LLC | Clinic/Center | 6666 Security Blvd Ste 4, Baltimore, MD 21207-4025 | 2019-04-25 |
| 1104383975 | Alpha Gi Care, PC | Clinic/Center | 7247 Hanover Pkwy Ste A, Greenbelt, MD 20770-3661 | 2019-02-27 |
| 1417430117 | Emily Clarke-pearson, Md, PC | Clinic/Center | 949 Fell St Ste B, Baltimore, MD 21231-3505 | 2018-09-10 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1063958213 | Medsultants | Clinic/Center | 10317 Kingsway Ct, Ellicott City, MD 21042-5802 | 2017-01-12 |
| 1124564703 | Fall Prevention and Stroke Rehab Physician, LLC | Clinic/Center | 2701 Jeremy Ct Apt E, Baltimore, MD 21209-3062 | 2017-01-06 |
| 1851747885 | Kempannasudhakar,md,pc | Clinic/Center | 7610 Carroll Ave Ste 230, Takoma Park, MD 20912-6312 | 2016-05-09 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| Find all providers with the same taxonomy | ||||
| City | DISTRICT HEIGHTS |
| Zip Code | 20747 |
Please comment or provide details below to improve the information on WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC.
| 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.