MEDSTAR HEALTH PHYSICAL THERAPY AT MICHELLVILLE
NPI 1912384892
Clinic/Center - Rehabilitation in Mitchellville, MD

NPI Status: Active since April 30, 2015

Contact Information

12158 CENTRAL AVE
MITCHELLVILLE, MD
ZIP 20721
Phone: (301) 390-3076
Fax: (301) 390-3725

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  • Organization
  • Clinic/Center
  • Rehabilitation
  • CLIA Number: 21D2263546
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-28-2026

About MEDSTAR HEALTH PHYSICAL THERAPY AT MICHELLVILLE

This page provides the complete NPI Profile along with additional information for Medstar Health Physical Therapy At Michellville, a provider established in Mitchellville, Maryland operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1912384892 assigned on April 2015. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Medstar Health Physical Therapy At Michellville operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medstar Health Physical Therapy At Michellville. The authorized official of this NPI record is John Rockwood (President)

NPI
1912384892
Provider Legal Name
NATIONAL REHABILITATION HOSPITAL, INC.
Other Organization Name
MEDSTAR HEALTH PHYSICAL THERAPY AT MICHELLVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12158 CENTRAL AVE MITCHELLVILLE, MD 20721
Location Phone
(301) 390-3076
Location Fax
(301) 390-3725
Mailing Address
102 IRVING ST NW ATTN: MHPT PAYOR ENROLLMENT WASHINGTON, DC 20010
Mailing Phone
(301) 540-6140
Mailing Fax
(301) 390-3725
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-30-2015
Last Update Date
01-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
3235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN ROCKWOOD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(301) 540-6140

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2263546
Facility Type
Physician Office
Certificate Effective Date
June 29, 2024
Certificate Expiration Date
June 28, 2026
Laboratory Director
PINKY SINGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medstar Health Physical Therapy At Michellville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEDSTAR HEALTH PHYSICAL THERAPY AT MICHELLVILLE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912384892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922688818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 6 + 8 + 8 + 8 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1912384892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619976438 WILLIAM F DUBOYCE MD
Individual
Internal Medicine12158 CENTRAL AVE MITCHELLVILLE PLAZA
MITCHELLVILLE, MD 20721
(301) 430-2750
1497095038CARDIOLOGY ASSOCIATES, LLC
Organization
Specialist12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-5898
1922481175MR. ANDREW JOSEPH DIORIO DPT
Individual
Physical Therapist12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2750
1225495617DR. KAREN HILLSLEY PT
Individual
Physical Therapist12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(855) 546-0971
1386096493 ANDREA SCHULTHEIS OTR/L
Individual
Occupational Therapist12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2700
1336691393 SHAYNA SRAGG
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 390-3076
1679000285MRS. LAUREN JEAN CLARK
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 390-3076
1972015162 VICTOR T NGUYEN
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2700
1689187056 REBECCA KRYSIAK
Individual
Occupational Therapist12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 390-3076
1740782978 AMANDA LEAH STABILE
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(855) 546-0971
1154825925 JASMIN ESTEFANI CASCO NATAREN
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 390-3076
1558858175 STEPHANIE M PALACIOS DPT
Individual
Physical Therapist12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 390-3076
1205302973 KENNY GASTON
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2750
1801354873 JILLIAN PAVLACKA
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 390-3076
1871135988 KATHERINE GROVE
Individual
Physical Therapy Assistant12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2700
1487269379 JENNIFER ANN SCHMITH
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(410) 960-1189
1720669245 MOSES OGUNYOYE
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2700
1710642509 DANIEL ROGOWSKI
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 352-0267
1144980954 EMILY JEAN CRONAN
Individual
Student in an Organized Health Care Education/Training Program12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 889-8914
1629711627MEDSTAR MEDICAL GROUP II LLC
Organization
Psychiatry & Neurology (Psychiatry)12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
(301) 430-2700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912384892, enumerated in the NPI registry as an "organization" on April 30, 2015

The provider is located at 12158 Central Ave Mitchellville, Md 20721 and the phone number is (301) 390-3076

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

The provider's CLIA number is 21D2263546 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 30, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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