Provider Demographics
NPI:1528061827
Name:NATIONAL REHABILITATION HOSPITAL INC
Entity type:Organization
Organization Name:NATIONAL REHABILITATION HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-540-6140
Mailing Address - Street 1:102 IRVING ST NW
Mailing Address - Street 2:ATTN: MHPT PAYOR ENROLLMENT
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2921
Mailing Address - Country:US
Mailing Address - Phone:301-540-6140
Mailing Address - Fax:301-540-5190
Practice Address - Street 1:102 IRVING ST NW
Practice Address - Street 2:NEURO CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2921
Practice Address - Country:US
Practice Address - Phone:202-877-1760
Practice Address - Fax:202-829-2789
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDSTAR HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-31
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X, 225X00000X, 235Z00000X
DCHFD01-0014283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283X00000XHospitalsRehabilitation Hospital
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD233193OtherMAMSI
MD399031100Medicaid
MD474035100Medicaid
DCH360OtherBLUESHIELD BEHAVIORAL
DC3108OtherBLUESHIELD THERAPY
DCHC4OtherBLUECROSS
DC020200700Medicaid
DC5460OtherBLUESHIELD PROF
DCH360OtherBLUESHIELD BEHAVIORAL
DC5460OtherBLUESHIELD PROF
DC020200700Medicaid
MD399031100Medicaid
MD035MMedicare PIN