# PREMIER REHABILITATION MEDICINE ASSOCIATES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497188601
- **Authorized official:** KISHA PERKINS BROWN MD (OWNER)
- **Authorized official phone:** (410) 499-8092

## Contact information

- **Practice address:** 12505 DORSEY LN, UPPER MARLBORO, MD 20772-5374
- **Practice address phone:** (410) 499-8092
- **Practice address fax:** (301) 868-4446
- **Mailing address:** 12505 DORSEY LN, UPPER MARLBORO, MD 20772-5374
- **Mailing address phone:** (410) 499-8092
- **Mailing address fax:** (301) 868-4446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0066461 | MD | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/12/2013