Metro Health And Rehab LLC
Physical Medicine & Rehabilitation in Frederick, MD. Organization (NPI-2).
NPI number1508335175
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1508335175
- Entity type
- Organization (NPI-2)
- Legal business name
- Metro Health And Rehab LLC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2018
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
4070 Atterbury PlFrederick, MD 21704-7401
Phone 240-409-9611
Mailing address
4070 Atterbury PlFrederick, MD 21704-7401
Phone 240-409-9611
Authorized official
Danah D Jack
Principal
2404099611
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All 14 Physical Medicine & Rehabilitation Physician providers in Frederick · All 5,755 providers in Frederick
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