OUT PATIENT REHAB
NPI 1417033259
Physical Therapist in Baltimore, MD

Active since October 27, 2006CLIA Certified · 2 labs
715 MAIDEN CHOICE LN, BALTIMORE, MD 21228(410) 247-2340 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Out Patient Rehab NPPES

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

OUT PATIENT REHAB (NPI 1417033259) is a healthcare organization registered as a physical therapist in Baltimore, Maryland and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Mary Wagner, Director, as its authorized official.

NPPES Registry Identity

NPI1417033259
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCHARLESTOWN
Location Address715 MAIDEN CHOICE LNBaltimore, MD 21228-5999
Mailing Address715 Maiden Choice LnBaltimore, MD 21228-5999 · (410) 247-2340
Organization SubpartNo
Authorized OfficialMary WagnerDirector · (410) 600-2334
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1417033259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
715 MAIDEN CHOICE LN, Baltimore, MD 21228

Other Names 1

Doing Business AsOut Patient Rehab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0703872

Charlestown Care Center · Catonsville, MD
Active · expires Dec 12, 2027
CLIA Number21D0703872
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorMyla Carpenter MD
Laboratory Phone(410) 247-9700
Laboratory LocationCharlestown Care Center709 Maiden Choice Lane, Catonsville, MD 21228
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0894633

Charlestown Employee Health And Wellness Center · Catonsville, MD
Active · expires Nov 17, 2026
CLIA Number21D0894633
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorMyla Carpenter
Laboratory Phone(410) 737-8801
Laboratory LocationCharlestown Employee Health And Wellness Center715 Maiden Choice Lane, Catonsville, MD 21228
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Physical Therapy Assistant
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Physical Therapist
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Occupational Therapist
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Speech-Language Pathologist
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Clinic/Center (Rehabilitation)
715 MAIDEN CHOICE LN, ATTN: REHABILITATION MANAGER
CATONSVILLE, MD 21228
Physical Therapist
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Occupational Therapist (Physical Rehabilitation)
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Ophthalmology
715 MAIDEN CHOICE LN
CATONSVILLE, MD 21228

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 Charlestown's NPI number?

The NPI number for Charlestown is 1417033259. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Out Patient Rehab.

Where is Charlestown located?

Charlestown is located at 715 Maiden Choice Ln, Baltimore, MD 21228. The listed phone number is (410) 247-2340.

What is Charlestown's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Does Charlestown hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Charlestown was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.