Provider Demographics
NPI:1972991644
Name:BEAT REHABILITATION AND WELLNESS, LLC
Entity type:Organization
Organization Name:BEAT REHABILITATION AND WELLNESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN PAUL
Authorized Official - Middle Name:GERRARD
Authorized Official - Last Name:ABAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-917-8400
Mailing Address - Street 1:5840 BANNEKER RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3103
Mailing Address - Country:US
Mailing Address - Phone:410-884-0000
Mailing Address - Fax:410-884-0002
Practice Address - Street 1:5840 BANNEKER RD
Practice Address - Street 2:STE 230
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3103
Practice Address - Country:US
Practice Address - Phone:410-884-0000
Practice Address - Fax:410-884-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23006225100000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty