WONDAFRASH REHAB LLC – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1609580281
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WONDAFRASH REHAB LLC
14904 Richmond Hwy Ste 209
Woodbridge, VA 221913908
Phone: (215) 432-6315
Type: Location
2605 Elnora St
Silver Spring, MD 209022705
Phone: (703) 672-1676
Type: Location
8116 ARLINGTON BLVD STE 257
FALLS CHURCH, VA 220421002
Phone: (215) 432-6315
Type: Mailing
306 W REDWOOD ST STE 200
BALTIMORE, MD 212011708
Phone: (215) 432-6315
Type: Mailing
5805 QUEENS CHAPEL RD
HYATTSVILLE, MD 207823867
Phone: (301) 277-6500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20251016000286 | O | Clinic/Group Practice | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22191)
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