Provider Demographics
NPI:1659761831
Name:REBOUND PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:REBOUND PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:GRUNOW
Authorized Official - Last Name:CONZE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:301-978-7730
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:GARRETT PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20896-0222
Mailing Address - Country:US
Mailing Address - Phone:240-367-6080
Mailing Address - Fax:
Practice Address - Street 1:1801 RESEARCH BLVD STE 103
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3172
Practice Address - Country:US
Practice Address - Phone:301-978-7730
Practice Address - Fax:301-978-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20498261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy