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

Shady Grove SNF LLC

Organization Physical Therapist · NPI 1770050395

Shady Grove SNF LLC is a Physical Therapist in Rockville, Maryland. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9701 Medical Center Dr
Rockville, MD 20850-3326
Phone: (301) 315-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1770050395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Israel Birnbaum — Authorized Official · (917) 685-8278
NPI enumeratedNovember 1, 2018
Last updated in NPPESNovember 1, 2018
Mailing address9701 Medical Center Dr, Rockville, MD 20850-3326

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