Rebound Medical of PA LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REBOUND MEDICAL OF PA LLC

Practice address

1078 Wyoming Ave
Number 202
Wyoming, PA 18644-1331

Phone

(203) 456-3931

NPI assigned

Mar 9, 2016

Organization subpart

Yes

Parent organization

MELLON LLCAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Piatnik

Title

Owner

Phone

(203) 456-3931

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1093176752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WYOMING AVE",
            "address_2": "NUMBER 202",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WYOMING AVE",
            "address_2": "NUMBER 202",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331",
            "telephone_number": "203-456-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND MEDICAL OF PA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELLON LLC",
        "enumeration_date": "2016-03-09",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "PIATNIK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-456-3931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.