Provider Demographics
NPI:1073164224
Name:FLAGSHIP REHABILITATION, INC
Entity Type:Organization
Organization Name:FLAGSHIP REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CC/QI
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:PUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN/MS/CPHQ
Authorized Official - Phone:301-722-3215
Mailing Address - Street 1:157 BALTIMORE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2472
Mailing Address - Country:US
Mailing Address - Phone:301-722-3215
Mailing Address - Fax:301-722-1450
Practice Address - Street 1:120 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1564
Practice Address - Country:US
Practice Address - Phone:717-749-0083
Practice Address - Fax:717-749-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty