Provider Demographics
NPI: | 1558637819 |
---|---|
Name: | REHABNEEDS |
Entity type: | Organization |
Organization Name: | REHABNEEDS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ARYA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KHOSHKHOU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 240-480-4553 |
Mailing Address - Street 1: | 2401 RESEARCH BLVD STE 101 |
Mailing Address - Street 2: | |
Mailing Address - City: | ROCKVILLE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20850-3215 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 240-480-4553 |
Mailing Address - Fax: | 301-972-1068 |
Practice Address - Street 1: | 2401 RESEARCH BLVD STE 101 |
Practice Address - Street 2: | |
Practice Address - City: | ROCKVILLE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20850-3215 |
Practice Address - Country: | US |
Practice Address - Phone: | 240-480-4553 |
Practice Address - Fax: | 301-972-1068 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-03-30 |
Last Update Date: | 2021-11-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty | |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Single Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Single Specialty |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Single Specialty |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Single Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Single Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Single Specialty | |
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | ||
No | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | |
No | 332BN1400X | Suppliers | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies |