Provider Demographics
NPI:1447057849
Name:REHAB 2 PERFORM LLC
Entity type:Organization
Organization Name:REHAB 2 PERFORM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SUPPORT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:WELTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-608-0986
Mailing Address - Street 1:20501 SENECA MEADOWS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7017
Mailing Address - Country:US
Mailing Address - Phone:301-798-4838
Mailing Address - Fax:301-798-4876
Practice Address - Street 1:1 EASTER CT STE C-D
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3294
Practice Address - Country:US
Practice Address - Phone:301-798-4838
Practice Address - Fax:301-798-4876
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHAB 2 PERFORM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty