Provider Demographics
NPI:1164602314
Name:SUN RISE REHAB LLC
Entity type:Organization
Organization Name:SUN RISE REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAQUIB
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-446-2488
Mailing Address - Street 1:7249 HANOVER PKWY
Mailing Address - Street 2:SUITE A AND B
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3608
Mailing Address - Country:US
Mailing Address - Phone:301-446-2488
Mailing Address - Fax:301-446-2490
Practice Address - Street 1:7249 HANOVER PKWY
Practice Address - Street 2:SUITE A AND B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3608
Practice Address - Country:US
Practice Address - Phone:301-446-2488
Practice Address - Fax:301-446-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation