Provider Demographics
NPI:1093360216
Name:FIRSTSTEP REHAB, LLC
Entity Type:Organization
Organization Name:FIRSTSTEP REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DSCPT
Authorized Official - Phone:443-756-3029
Mailing Address - Street 1:1875 CANDLELIGHT CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-3616
Mailing Address - Country:US
Mailing Address - Phone:443-756-3029
Mailing Address - Fax:
Practice Address - Street 1:1875 CANDLELIGHT CT
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3616
Practice Address - Country:US
Practice Address - Phone:443-756-3029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty