OrganizationActive
Premier Rehabilitation Medicine Associates LLC
NPI 1497188601 · Physical Medicine & Rehabilitation Physician · Upper Marlboro, MD
Provider details
- NPI number
- 1497188601
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kisha Brown, Owner(410) 499-8092
- License
- D0066461 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12505 Dorsey Ln
Upper Marlboro, MD 20772-5374
Phone: (410) 499-8092
Fax: (301) 868-4446
Street-level locationGet directions
Mailing address
12505 Dorsey Ln
Upper Marlboro, MD 20772-5374
Registry dates
- Enumerated
- 2013-08-12
- Last updated
- 2013-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.