Provider Demographics
NPI:1588737571
Name:MELWOOD REHABILITATION CENTER INC
Entity type:Organization
Organization Name:MELWOOD REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFIK
Authorized Official - Middle Name:A
Authorized Official - Last Name:TARFA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, DPT
Authorized Official - Phone:301-599-8420
Mailing Address - Street 1:9500 PENNSYLVANIA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3658
Mailing Address - Country:US
Mailing Address - Phone:301-599-8420
Mailing Address - Fax:301-599-8280
Practice Address - Street 1:9500 PENNSYLVANIA AVE STE 6
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3658
Practice Address - Country:US
Practice Address - Phone:301-599-8420
Practice Address - Fax:301-599-8280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04073225X00000X
MD15222225100000X
MD20955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1306844493OtherNPI INDIVADUAL
MD1306844493OtherNPI INDIVADUAL