ON TRACK REHABILITATION, LLC


Address: 8839 Kelso Dr, Essex, MD 21221-3141
Phone: 4434150004

ON TRACK REHABILITATION, LLC (NPI# 1588053227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588053227
Entity Type Organization
Organization Name ON TRACK REHABILITATION, LLC
Practice Address 8839 Kelso Dr
Essex
MD 21221-3141
Mailing Address 3702 Brenbrook Dr
Randallstown
MD 21133-4116
Practice Telephone 4434150004
Mailing Telephone 4434150004
Enumeration Date 2015-01-19
Last Update Date 2015-01-19
Authorized Official Name MRS. ERIN LATREACE LOGAN (OWNER)
Authorized Official Telephone 4434150004
Authorized Official Credential P.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251E00000X Home Health 20878 MD Agencies
Y 261QH0100X Clinic/Center
Specialization: Health Service
20878 MD Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831734920 On Track Rehabilitation, LLC Clinic/Center 3702 Brenbrook Dr, Randallstown, MD 21133-4116 2019-11-12

Office Location

Street Address 8839 KELSO DR
City ESSEX
State MD
Zip Code 21221-3141

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NPI Name Taxonomy Address Enumeration
1760992879 Mercy First Healthcare Solutions Home Health 1633 Renaissance Drive, Baltimore, MD 21221 2017-10-03
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1588116594 Beverly Hogan Speech-Language Pathologist 8839 Kelso Drive Suite A & B, Essex, MD 21221 2016-10-26
1851764740 Walgreens#2446 Clinic/Center 6 South Marlyn Ave, Essex, MD 21221 2015-11-02
1982070413 Sonay Naqib Dentist 1346 Eastern Boulevard, Essex, MD 21221 2015-08-19
1225423411 Vivid Home Care Service Inc Home Health 1111 Country Terrace Road, Apartment E, Essex, MD 21221 2015-04-03
1831584184 Kfm Inc Pharmacy 901 Eastern Blvd, Suite 100, Essex, MD 21221 2015-04-03
1063811420 Eliza Chappelle Pharmacist 500 Eastern Avenue, Baltimore, MD 21221 2014-08-21
1316350549 Stephen Riggin Jr. Pharmacist 500 Eastern Ave., Essex, MD 21221 2014-06-05
1891118899 Shiphrah Birthing Services Midwife 617 Stemmers Run Rd Ste E, Essex, MD 21221 2014-01-27
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1205457124 Mark Johnson, Md, PC Clinic/Center 10801 Lockwood Dr Ste 285, Silver Spring, MD 20901-1556 2020-05-01
1548894314 Isinc Healthcare Services, LLC Clinic/Center 229 Washington Blvd S, Laurel, MD 20707-4615 2020-03-02
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Competitor

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City ESSEX
Zip Code 21221

Improve Information

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Dataset Information

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.

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