1. Home
  2. Directory
  3. Pennsylvania
  4. Glen Mills
  5. Clinic Center
  6. NPI Profile

MARIS GROVE OUTPATIENT REHABILITATION AGENCY
NPI 1578767612
Clinic/Center - Rehabilitation in Glen Mills, PA

Active since June 13, 2007
100 MARIS GROVE WAY, ATTN: REHABILITATION MANAGER, GLEN MILLS, PA 19342(610) 387-4470(410) 204-7237 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Maris Grove Outpatient Rehabilitation Agency NPPES

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

MARIS GROVE OUTPATIENT REHABILITATION AGENCY (NPI 1578767612) is a healthcare organization registered as a rehabilitation in Glen Mills, Pennsylvania and active in the NPI registry since June 2007. The organization lists Christopher J Rathmann, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1578767612
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMARIS GROVE, INC
Location Address100 MARIS GROVE WAY, ATTN: REHABILITATION MANAGERGlen Mills, PA 19342-1282
Mailing Address100 Maris Grove Way, Attn: Executive DirectorGlen Mills, PA 19342-1282 · (610) 387-4470 · Fax (410) 204-7237
Phone(610) 387-4470
Fax(410) 204-7237
Organization SubpartNo
Authorized OfficialChristopher J RathmannAssistant Treasurer · (410) 402-2390
Enumeration DateJune 13, 2007
Last NPPES UpdateOctober 11, 2012
✔ NPI 1578767612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
100 MARIS GROVE WAY, Glen Mills, PA 19342
Open in Google Maps ↗

Other Names 1

Doing Business AsMaris Grove Outpatient Rehabilitation Agency

Other Identifiers 1

Medicare OSCAR/certification396840PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maris Grove Outpatient Rehabilitation Agency is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20070801000447Part A · Outpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

ANUJ PRASAD DO
Internal Medicine
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
KENNETH CHANG MD
Internal Medicine
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
ERICKSON HEALTH MEDICAL GROUP OF PA PC
Durable Medical Equipment & Medical Supplies
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
JOY CANTUBA
Registered Nurse (Gerontology)
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
CATHY SMITH MD
Internal Medicine
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
MARY CATHERINE HANNIGAN-CONROY CRNP
Nurse Practitioner (Adult Health)
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
MRS. EDITH CLAIRE HEILMAN MSN,PMH,CNS,BC.
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520
DR. MICHAEL BENJAMIN KUCZMARSKI DO
Family Medicine
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Delaware County (610) 387-4520

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 Maris Grove, Inc's NPI number?

The NPI number for Maris Grove, Inc is 1578767612. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Maris Grove Outpatient Rehabilitation Agency.

Where is Maris Grove, Inc located?

Maris Grove, Inc is located at 100 Maris Grove Way Attn: Rehabilitation Manager, Glen Mills, PA 19342. The listed phone number is (610) 387-4470.

What is Maris Grove, Inc's specialty?

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

Is Maris Grove, Inc enrolled in Medicare?

Yes. Maris Grove, Inc is registered in the Medicare PECOS enrollment system.

When is Maris Grove, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Maris Grove, Inc was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.