Provider Demographics
NPI:1932385127
Name:GETWELL REHABILITATION, LLC
Entity Type:Organization
Organization Name:GETWELL REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STAYEAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:301-654-9355
Mailing Address - Street 1:4601 N PARK AVE
Mailing Address - Street 2:#10C
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4519
Mailing Address - Country:US
Mailing Address - Phone:301-654-9355
Mailing Address - Fax:301-654-9356
Practice Address - Street 1:4601 N PARK AVE
Practice Address - Street 2:#10C
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4519
Practice Address - Country:US
Practice Address - Phone:301-654-9355
Practice Address - Fax:301-654-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870054225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty