NATIONAL UPPER EXTREMITY REHABILITATION CENTER (NPI# 1124103429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124103429 |
| Entity Type | Organization |
| Organization Name | NATIONAL UPPER EXTREMITY REHABILITATION CENTER |
| Practice Address |
14300 Gallant Fox Ln Ste 114 Bowie MD 20715-4031 |
| Practice Telephone | 3014645100 |
| Practice Fax Number | 3014641067 |
| Mailing Telephone | 3014645100 |
| Mailing Fax Number | 3014641067 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY KATHLEEN SORENSON (PRESIDENT/PROVIDER) |
| Authorized Official Telephone | 4102636638 |
| Authorized Official Credential | PT/CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14300 GALLANT FOX LN STE 114 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023193398 | Mary Kathleen Sorenson | Physical Therapist | 14300 Gallant Fox Ln Ste 114, Bowie, MD 20715-4031 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 2251H1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023193398 | Mary Kathleen Sorenson | Physical Therapist | 14300 Gallant Fox Ln Ste 114, Bowie, MD 20715-4031 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447267620 | C. Anne Michno | Physical Therapist | 1400 Front Ave. Suite 205, Lutherville, MD 21093 | 2006-08-01 |
| 1447599097 | Physical Therapy and Pain Management Center LLC | Physical Therapist | 11120 New Hampshire Ave, Suite 200, Silver Spring, MD 20904-2633 | 2013-02-01 |
| 1780747725 | Romina Astifidis | Physical Therapist | 1400 Front Ave, Suite 205, Lutherville, MD 21093-5300 | 2006-12-19 |
Please comment or provide details below to improve the information on NATIONAL UPPER EXTREMITY REHABILITATION CENTER.
| 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.