Peak Rehab, Inc. in Mt Lake Park - Specialist
Peak Rehab, Inc. - NPI 1053319491
Peak Rehab, Inc. is a Specialist in Mt Lake Park, Maryland. Peak Rehab, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peak Rehab, Inc. is 1053319491. The last update date is 2020-08-22.
Peak Rehab, Inc.'s current location address is 1477 Maryland Hwy, Mt Lake Park, Maryland. You can contact this provider via phone number 3015331010 and fax number 3013343059. The mailing address for Peak Rehab, Inc. is 1477 Maryland Hwy, Mt Lake Park, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peak Rehab, Inc. |
|---|---|
| Address | 1477 Maryland Hwy, Mt Lake Park, Maryland |
| Phone Number | 3015331010 |
| Fax Number | 3013343059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Friend E. Debra |
| Credentials | PHD CCC SL |
| Telephone Number | 3015331010 |
NPI Number Detail
| NPI Number | 1053319491 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1477 Maryland Hwy |
|---|---|
| City | Mt Lake Park |
| State | Maryland (MD) |
| Post Code | 215506346 |
| Phone Number | 3015331010 |
| Fax Number | 3013343059 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263871 | MD | MAMSI | |
| J980 | MD | FED CARE FIRST | |
| 43350 | MD | IWIF | |
| KBA5PE | MD | CAREFIRST | |
| 204985000 | WV | -- |
Post Comment/ Review Below
Where is the Peak Rehab, Inc. located?
The Peak Rehab, Inc. is located at 1477 Maryland Hwy, Mt Lake Park, MD 215506346.
What is the Peak Rehab, Inc.'s specialty and taxonomy code?
The Peak Rehab, Inc.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Peak Rehab, Inc.'s 1053319491 issued?
The Peak Rehab, Inc.'s 1053319491 was issued on 2005-07-11.
On what date did the Centers for Medicare & Medicaid Services issue the 1053319491 to Peak Rehab, Inc.?
The Peak Rehab, Inc. received its 1053319491 assignment from the Centers for Medicare & Medicaid Services on 2005-07-11.
When was the information pertaining to Peak Rehab, Inc. most recently updated or revised?
The details related to Peak Rehab, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.