NPIMap

Organization Active NPI

Medical Technical Rehabilitation LLC

Doing business as MedTech Rehab Blairsville

  • Methadone Clinic
  • Blairsville, PA
National Provider Identifier
1033487780
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
327022 Issued in PA
Legal business name
MEDICAL TECHNICAL REHABILITATION LLC
Doing business as
MedTech Rehab Blairsville
Practice address
1984 Route 22 Hwy W
Blairsville, PA 15717-1264
Phone
(724) 459-4884
Fax
(724) 459-4886
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Thomas Plaitano
Title
Ceo
Phone
(724) 834-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 327022 PA Primary

Addresses

Primary practice location

1984 Route 22 Hwy W
Blairsville, PA 15717-1264

Mailing address

1984 Route 22 Hwy W
Blairsville, PA 15717-1264
Phone (724) 459-4884

Other identifiers 1

IdentifierTypeStateIssuer
APPLYINGMedicaidPA

Other names 1

  • MedTech Rehab Blairsville Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1033487780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 ROUTE 22 HWY W",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171264",
            "telephone_number": "724-459-4884",
            "fax_number": "724-459-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 ROUTE 22 HWY W",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171264",
            "telephone_number": "724-459-4884",
            "fax_number": "724-459-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TECHNICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "PLAITANO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-834-1144"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": "327022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTech Rehab Blairsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.