Organization Active NPI

Penn Rehabilitation Associates, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
National Provider Identifier
1073580551
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PENN REHABILITATION ASSOCIATES, P.C.
Practice address
2151 Linglestown Rd
Ste. 240
Harrisburg, PA 17110-9499
Phone
(717) 541-0700
Fax
(717) 541-5100
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Eduardo Santiago Violago, M.D.NPI 1679540140
Title
President/Treasurer
Phone
(717) 541-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2151 Linglestown Rd
Ste. 240
Harrisburg, PA 17110-9499

Mailing address

2151 Linglestown Rd
Ste. 240
Harrisburg, PA 17110-9499
Phone (717) 541-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001056 PA Part B Supplier - Clinic/Group Practice 3577548999 Receives reassigned benefits from 2 practitioners
Practice locations: Carlisle, PA; Harrisburg, PA; Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

2151 Linglestown Rd
Ste 240
Harrisburg, PA 17110
Phone (717) 541-0700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1073580551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "STE. 240",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-541-0700",
            "fax_number": "717-541-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "STE. 240",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-541-0700",
            "fax_number": "717-541-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN REHABILITATION ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "VIOLAGO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "717-541-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.