Elite Rehab Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT008550L Issued in PA

Legal business name

ELITE REHAB INC.

Practice address

200 W. 27TH St.
Hazleton, PA 18202-9759

Phone

(570) 956-8149

NPI assigned

Mar 31, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Sarah L. McNeal, PTA

Title

Co-Owner

Phone

(570) 956-8149

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1013370766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W. 27TH ST.",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029759",
            "telephone_number": "570-956-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W. 27TH ST.",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029759",
            "telephone_number": "570-956-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "570-956-8149",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "TE1004392",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT008550L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.