Active NPI
Saint Vincent Rehab Solutions LLC
- Occupational Therapist
- Erie, PA
National Provider Identifier
1114007879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SAINT VINCENT REHAB SOLUTIONS LLC
- Practice address
- 1910 Sassafras St
Suite 200
Erie, PA 16502-2716 - Phone
- (814) 452-5231
- Fax
- (814) 452-7855
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Clark
- Title
- President
- Phone
- (814) 452-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1910 Sassafras St
Suite 200
Erie, PA 16502-2716
Mailing address
153 E 13TH St Ste 1300
Erie, PA 16503-1035
Phone (814) 860-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007534620006 | Medicaid | PA |
Other names 1
- Saint Vincent Rehab Solutions
National Provider Directory
National Provider Directory- Tax ID family
- SNT Vincent Rehab Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Medicine Clinic/Center
- Erie, PA
- NPI 1437292737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538092800000",
"number": "1114007879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 E 13TH ST STE 1300",
"city": "ERIE",
"state": "PA",
"postal_code": "165031035",
"telephone_number": "814-860-5000",
"fax_number": "814-860-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SASSAFRAS ST",
"address_2": "SUITE 200",
"city": "ERIE",
"state": "PA",
"postal_code": "165022716",
"telephone_number": "814-452-5231",
"fax_number": "814-452-7855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT VINCENT REHAB SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2018-09-28",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-452-5111"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007534620006",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saint Vincent Rehab Solutions",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Erie, PA
- Saint Vincent Medical Education and Research Institute Inc. (Chest Diseases Hillside)
- Saint Vincent Medical Education and Research Institute Inc.
- Saint Vincent Medical Education and Research Institute, Inc. (Saint Vincent Medical Group)
- Saint Vincent Medical Educationand Reseach Institute Inc (Saint Vincent Behavioral Services-LMFT)
- Saint Vincent Pediatric Echo
- Saint Vincent Rehab Solutions LLC
- Saint Vincent Rehab Solutions LLC
- Saint Vincent Serenity Program
- Saint Vincent Surgery Center of Erie
- Saint Vincent Women's Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.