SHADY GROVE SNF LLC (NPI# 1770050395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770050395 |
| Entity Type | Organization |
| Organization Name | SHADY GROVE SNF LLC |
| Practice Address |
9701 Medical Center Dr Rockville MD 20850-3326 |
| Practice Telephone | 3013151900 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | ISRAEL BIRNBAUM (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9176858278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515071 | Shady Grove Snf LLC | Assisted Living Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2019-03-01 |
| 1578049409 | Shady Grove Snf LLC | Assisted Living Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2018-07-13 |
| 1366931206 | Shady Grove Snf LLC | Skilled Nursing Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2018-05-07 |
| Street Address |
9701 MEDICAL CENTER DR |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217219 | Shady Grove Adventist Nursing & Rehabilitation Center Inc | Skilled Nursing Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2005-07-04 |
| 1427515071 | Shady Grove Snf LLC | Assisted Living Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2019-03-01 |
| 1700350428 | Kendra Smart | Occupational Therapy Assistant | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2019-01-15 |
| 1578049409 | Shady Grove Snf LLC | Assisted Living Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2018-07-13 |
| 1366931206 | Shady Grove Snf LLC | Skilled Nursing Facility | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2018-05-07 |
| 1770089203 | Nazneen Nigar Khan | Occupational Therapist | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2018-04-03 |
| 1497266696 | Samar Amir Hassan | Physical Therapy Assistant | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2017-10-16 |
| 1528587219 | Joelle Wanette Kee | Physical Therapy Assistant | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2017-09-13 |
| 1114447174 | Kristin Schea | Occupational Therapist | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2017-06-21 |
| 1285179416 | Samatra Spires | Speech-Language Pathologist | 9701 Medical Center Dr, Rockville, MD 20850-3326 | 2016-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230528 | Bruce Morgan | Physical Therapist | 1525 Columbia Ave, Rockville, MD 20850-1008 | 2020-06-21 |
| 1760015200 | Kristina Hsieh | Physical Therapist | 5410 Edson Ln Ste 350, Rockville, MD 20852-3179 | 2020-02-12 |
| 1962044503 | Shital Patel | Physical Therapist | 17216 Founders Mill Dr, Rockville, MD 20855-2535 | 2019-10-15 |
| 1912548629 | Cameron John Massumi | Physical Therapist | 15201 Shady Grove Rd Ste 102, Rockville, MD 20850-3217 | 2019-10-03 |
| 1265909915 | Sarah Vanbuiten | Physical Therapist | 14995 Shady Grove Rd Ste 320, Rockville, MD 20850-8726 | 2018-10-31 |
| 1871078675 | Progressive Physical Therapy, LLC | Physical Therapist | 15825 Shady Grove Rd Ste 50, Rockville, MD 20850-4061 | 2018-09-27 |
| 1710477898 | Emily J Cameron | Physical Therapist | 1803 Research Blvd Ste 101, Rockville, MD 20850-3187 | 2018-05-15 |
| 1205332822 | People Encouraging People, Inc. | Physical Therapist | 251 N Stonestreet Ave, Rockville, MD 20850-1654 | 2018-04-03 |
| 1164934469 | Mitali Shastri | Physical Therapist | 8 Baltimore Rd, Rockville, MD 20850-4604 | 2017-10-26 |
| 1114437688 | Carrie Cothran | Physical Therapist | 5410 Edson Lane Suite 350, Rockville, MD 20852 | 2017-10-10 |
| Find all providers in ROCKVILLE | ||||
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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.