Provider Demographics
NPI:1124667985
Name:SWIFT REHABILITATION INC.
Entity type:Organization
Organization Name:SWIFT REHABILITATION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:410-340-9874
Mailing Address - Street 1:8 QUAILS NEST CT
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5604
Mailing Address - Country:US
Mailing Address - Phone:443-469-3426
Mailing Address - Fax:
Practice Address - Street 1:8 QUAILS NEST CT
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5604
Practice Address - Country:US
Practice Address - Phone:443-469-3426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD207290400Medicaid