AGILE PRIMARY CARE AND REHABILITATION SERVICES
NPI 1285472985
Clinic/Center - Rehabilitation in Glen Burnie, MD

Active since July 17, 2024
216 CRAIN HWY N STE 102, GLEN BURNIE, MD 21061(301) 263-4890 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Agile Primary Care And Rehabilitation Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGILE PRIMARY CARE AND REHABILITATION SERVICES (NPI 1285472985) is a healthcare organization registered as a rehabilitation in Glen Burnie, Maryland and active in the NPI registry since July 2024. The organization lists Mosunmola Lake, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285472985
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameAGILE PRIMARY CARE AND REHABILITATION SERVICES
Location Address216 CRAIN HWY N STE 102Glen Burnie, MD 21061-3086
Mailing Address216 Crain Hwy N Ste 102Glen Burnie, MD 21061-3086
Organization SubpartNo
Authorized OfficialMosunmola LakeMedical Director · (301) 263-4890
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1285472985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
216 CRAIN HWY N STE 102, Glen Burnie, MD 21061

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
216 CRAIN HWY N STE 102
GLEN BURNIE, MD 21061
Psychiatry & Neurology (Psychiatry)
216 CRAIN HWY N STE 102
GLEN BURNIE, MD 21061
Clinic/Center (Mental Health (Including Community Mental Health Center))
216 CRAIN HWY N STE 102
GLEN BURNIE, MD 21061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agile Primary Care And Rehabilitation Services's NPI number?

The NPI number for Agile Primary Care And Rehabilitation Services is 1285472985. It was assigned to this organization in the NPPES registry on July 17, 2024.

Where is Agile Primary Care And Rehabilitation Services located?

Agile Primary Care And Rehabilitation Services is located at 216 Crain Hwy N Ste 102, Glen Burnie, MD 21061. The listed phone number is (301) 263-4890.

What is Agile Primary Care And Rehabilitation Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Agile Primary Care And Rehabilitation Services was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.