Provider Demographics
NPI:1184627622
Name:REHABILITATION PRACTITIONERS INC
Entity type:Organization
Organization Name:REHABILITATION PRACTITIONERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CESTARO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:540-722-9025
Mailing Address - Street 1:333 W CORK ST
Mailing Address - Street 2:UNIT 30
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3816
Mailing Address - Country:US
Mailing Address - Phone:540-722-9025
Mailing Address - Fax:540-667-9915
Practice Address - Street 1:324 E ANTIETAM ST
Practice Address - Street 2:STE 300
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5768
Practice Address - Country:US
Practice Address - Phone:301-739-5060
Practice Address - Fax:540-667-9915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION PRACTITIONERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-30
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD095098000Medicaid
MD0327930002Medicare NSC