National Rehabilitation Hospital INC
Clinic/Center, Rehabilitation in Woodbridge, VA. Organization (NPI-2).
NPI number1750768024
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1750768024
- Entity type
- Organization (NPI-2)
- Legal business name
- National Rehabilitation Hospital INC
- Organization subpart
- Yes
- Enumeration date
- May 6, 2015
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Medstar Health Physical Therapy At Lake Ridge (Doing Business As)
Practice location
12825 Minnieville Rd Ste 201Woodbridge, VA 22192-3602
Phone 703-647-3130 · Fax 703-490-6505
Mailing address
102 Irving St NwAttn: Mhpt Payor Enrollment
Washington, DC 20010-2921
Phone 301-540-6140 · Fax 301-540-5190
Authorized official
John Rockwood
President
3015406140
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