NRH/CPT/ST.MARY/CIVISTA REGIONAL REHABILITATION, INC. (NPI# 1235516956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235516956 |
| Entity Type | Organization |
| Organization Name | NRH/CPT/ST.MARY/CIVISTA REGIONAL REHABILITATION, INC. |
| Other Organization Name | NRH REHABILITATION NETWORK @ WALDORF |
| Practice Address |
3 Post Office Rd Suite 105 Waldorf MD 20602-2756 |
| Mailing Address |
20410 Century Blvd Suite 215 Germantown MD 20874-1186 |
| Practice Telephone | 3013732588 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | JOHN BRICKLEY (VICE PRESIDENT AMBULATORY OPERATION) |
| Authorized Official Telephone | 3015406140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NRH Rehabilitation Network @ Waldorf | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235517459 | Nrh/cpt/st.mary/civista Regional Rehabilitation, Inc. | Physical Therapist | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2015-05-07 |
| Street Address |
3 POST OFFICE RD SUITE 105 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851468995 | Charles Vincent Judge IIi | Chiropractor | 3 Post Office Rd, Suite 104, Waldorf, MD 20602 | 2006-11-30 |
| 1558960831 | Kourtney Wathen | Speech-Language Pathologist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2020-10-19 |
| 1003382565 | Alexandra Perry | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2018-10-22 |
| 1639521552 | Gabriel Kresge | Physical Therapist | 3 Post Office Rd, #105, Waldorf, MD 20602-2756 | 2016-07-02 |
| 1780031930 | Marcelle Ortiz | Occupational Therapist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2016-05-18 |
| 1790154722 | Erin O'neil | Speech-Language Pathologist | 3 Post Office Rd, #105, Waldorf, MD 20602-2756 | 2015-09-21 |
| 1679971063 | Robert Jameson Jr. | Occupational Therapist | 3 Post Office Rd, Suite Number 105, Waldorf, MD 20602-2756 | 2014-12-17 |
| 1396147716 | Brittany Webster | Physical Therapist | 3 Post Office Rd, Suite 105, Waldorf, MD 20602-2756 | 2014-09-17 |
| 1386067981 | September Dietrich | Physical Therapy Assistant | 3 Post Office Rd, Suite 105, Waldorf, MD 20602-2756 | 2014-02-03 |
| 1811263502 | Theresa J Hallenen | Occupational Therapist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558714824 | Proflex Physical Therapy of Maryland, LLC. | Clinic/Center | 3320 Crain Hwy, Waldorf, MD 20603-4850 | 2016-07-21 |
| 1437786779 | National Rehabiliation Hospital, Inc | Clinic/Center | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999551 | Physiotherapy Assoicates, Inc. | Clinic/Center | 11200 Rockville Pike Ste 240, Rockville, MD 20852-3154 | 2020-10-14 |
| 1790398618 | Holistic Health- Counseling & Coaching LLC | Clinic/Center | 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 | 2020-08-29 |
| 1427669159 | Phaze Counseling Services Inc | Clinic/Center | 4425 Fitch Ave Ste 118, Nottingham, MD 21236-3927 | 2020-08-14 |
| 1154931962 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 41 Magna Way Ste 140, Westminster, MD 21157-3073 | 2020-08-06 |
| 1821606583 | Fine, Bryant & Wah, Inc. | Clinic/Center | 1707 Whetstone Way, Baltimore, MD 21230-5198 | 2020-07-20 |
| 1912520685 | Recovery Center of Maryland | Clinic/Center | 211 E 25th St, Baltimore, MD 21218-5217 | 2020-05-28 |
| 1013546944 | National Rehabiliation Hospital, Inc | Clinic/Center | 1838 Greene Tree Rd Ste 245, Baltimore, MD 21208-7110 | 2020-04-02 |
| 1831734920 | On Track Rehabilitation, LLC | Clinic/Center | 3702 Brenbrook Dr, Randallstown, MD 21133-4116 | 2019-11-12 |
| 1184277303 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1305 S Salisbury Blvd Unit 5, Salisbury, MD 21801-6845 | 2019-07-17 |
| 1235791625 | Focused Care, LLC | Clinic/Center | 8070 Georgia Ave Ste 605, Silver Spring, MD 20910-4948 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
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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.