1376885863 NPI number — REBECCA ANNE HUESMAN SCHWENDER PT

Table of content: REBECCA ANNE HUESMAN SCHWENDER PT (NPI 1376885863)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376885863 NPI number — REBECCA ANNE HUESMAN SCHWENDER PT

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
SCHWENDER

Provider First Name:
REBECCA

Provider Middle Name:
ANNE HUESMAN

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:
PT

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:
HUESMAN

Provider Other First Name:
REBECCA

Provider Other Middle Name:
ANNE

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376885863

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
12/15/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20410 CENTURY BLVD

Provider Second Line Business Mailing Address:
NRH REHAB NETWORK - SUITE 215

Provider Business Mailing Address City Name:
GERMANTOWN

Provider Business Mailing Address State Name:
MD

Provider Business Mailing Address Postal Code:
20874-1186

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
301-540-6140

Provider Business Mailing Address Fax Number:
301-540-5190

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9105 FRANKLIN SQUARE DR STE 106

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:
BALTIMORE

Provider Business Practice Location Address State Name:
MD

Provider Business Practice Location Address Postal Code:
21237-5335

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
443-777-7750

Provider Business Practice Location Address Fax Number:
443-777-8184

Provider Enumeration Date:
03/22/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

Provider Taxonomy Codes

Taxonomy code: 225100000X , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Taxonomy code: 225100000X , with the licence number: 24423 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .