RYAN REHABILITATION LLC (NPI# 1780164087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780164087 |
| Entity Type | Organization |
| Organization Name | RYAN REHABILITATION LLC |
| Practice Address |
19630 Club House Rd Ste 715 Montgomery Village MD 20886 |
| Mailing Address |
19630 Club House Rd Ste 715 Montgomery Village MD 20886-3040 |
| Practice Telephone | 3012587771 |
| Practice Fax Number | 3012589078 |
| Mailing Telephone | 3012587771 |
| Mailing Fax Number | 3012579078 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | MELANIE SUTHARD (BILLING MANAGER) |
| Authorized Official Telephone | 3019429773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 654084800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
| 1316427610 | Ryan Rehabilitation LLC | Counselor | 5210 Auth Rd Ste 100, Suitland, MD 20746 | 2018-08-16 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1578038782 | Ryan Rehabilitation LLC | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886-3040 | 2018-10-04 |
| 1487129698 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895-2004 | 2018-10-04 |
| 1295200400 | Ryan Rehabilitation LLC | Counselor | 5210 Auth Rd, Suitland, MD 20746-4330 | 2018-10-04 |
| 1104391317 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740-3652 | 2018-10-04 |
| Street Address |
19630 CLUB HOUSE RD STE 715 |
| City | MONTGOMERY VILLAGE |
| State | MD |
| Zip Code | 20886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558536102 | James M Ryan | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886 | 2008-04-24 |
| 1578038782 | Ryan Rehabilitation LLC | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886-3040 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684986 | Monica Susan Perretta | Dietitian, Registered | 8615 East Village Ave., Montgomery Village, MD 20886 | 2018-03-29 |
| 1942604640 | Maria Uy | Pharmacist | 9846 Maple Leaf Dr, Montgomery Village, MD 20886 | 2014-10-09 |
| 1699015354 | Larissa Kern Reynolds | Psychologist | 8615 East Village Avenue, Montgomery Village, MD 20886 | 2013-02-18 |
| 1518221613 | Iya-wase Winifred Besinga | Home Health Aide | 9658 Brassieway Montgomery Village, Montgomery, MD 20886 | 2012-07-03 |
| 1265758858 | Nina Vann Jeanes M.d., P.C. | Obstetrics & Gynecology | 19221 Montgomery Village Avenue, C-20, Montgomery County, MD 20886 | 2010-04-08 |
| 1275773012 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 8109 Wisconsin Ave, Bethesda, MD 20886 | 2009-03-05 |
| 1184876757 | Russell Lee Fritts | Chiropractor | 18538 Office Park Dr., Montgomery Village, MD 20886 | 2008-10-15 |
| 1558487413 | Montgomery Village Dental Ctr | Dentist | 18544 Office Park Drive, Gaithersburg, MD 20886 | 2007-03-22 |
| 1437226784 | Robbie S Moyer | Pediatrics | 18506 Office Park Drive, Montgomery Vlg, MD 20886 | 2006-11-30 |
| 1689741720 | Edward Joseph Feroli | Pediatrics | 19251 Montgomery Village Ave, Montgomery Village, MD 20886 | 2006-11-30 |
| Find all providers in zip 20886 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790102531 | James M Ryan | Counselor | 19586 Club House Rd, Montgomery Village, MD 20886-3002 | 2014-03-18 |
| 1558536102 | James M Ryan | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1134739600 | Crystal Yolanda Mason | Counselor | 10006 Antium Way, Owings Mills, MD 21117-4069 | 2020-08-08 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1588274773 | Positive Reinforcements Inc. | Counselor | 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 | 2020-08-03 |
| 1073122511 | Rasheed Badmus | Counselor | 46 Solar Cir Apt A, Parkville, MD 21234-6831 | 2020-07-30 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY VILLAGE |
| Zip Code | 20886 |
Please comment or provide details below to improve the information on RYAN REHABILITATION 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.