Provider Demographics
NPI:1417756255
Name:MARYLAND METRO REHAB LLC
Entity type:Organization
Organization Name:MARYLAND METRO REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:410-877-4934
Mailing Address - Street 1:2502 BROOKFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-4656
Mailing Address - Country:US
Mailing Address - Phone:410-877-4934
Mailing Address - Fax:
Practice Address - Street 1:2502 BROOKFIELD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-4656
Practice Address - Country:US
Practice Address - Phone:443-388-0446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty