Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kodiak Physiatry Consulting

Organization Physical Medicine & Rehabilitation Physician · NPI 1235945700

Kodiak Physiatry Consulting is a Physical Medicine & Rehabilitation Physician in Boonsboro, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

141 S Main St
Boonsboro, MD 21713-1203
Phone: (301) 432-5457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1235945700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bilaal Saif — Owner · (240) 291-0197
NPI enumeratedDecember 9, 2024
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 14, 2025
Mailing address5 Public Sq St 301, 604, Hagerstown, MD 21740

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