Provider Demographics
NPI:1588412894
Name:ADVANTAGE REHAB, INC.
Entity type:Organization
Organization Name:ADVANTAGE REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:410-479-0470
Mailing Address - Street 1:25324 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21639-1528
Mailing Address - Country:US
Mailing Address - Phone:410-479-0470
Mailing Address - Fax:410-479-0526
Practice Address - Street 1:243 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:MD
Practice Address - Zip Code:21655-2215
Practice Address - Country:US
Practice Address - Phone:410-754-7700
Practice Address - Fax:410-754-7701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANTAGE REHAB, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty