Integrated Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0131046 Issued in PA

Legal business name

INTEGRATED REHAB, LLC

Doing business as

Lifeline Specialty Outpatient Centers-Physical and Pulmonary Rehabilit

Practice address

2600 Ardmore Blvd
100 Forest Hills Plaza
Pittsburgh, PA 15221-5208

Phone

(412) 351-6545

Fax

(412) 829-6428

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Brehm, PT

Title

President

Phone

(412) 351-6545

Specialties & licenses 1

Addresses

Other names 1

• LIFELINE SPECIALTY OUTPATIENT CENTERS-PHYSICAL AND PULMONARY REHABILIT Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114088531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ARDMORE BLVD",
            "address_2": "100 FOREST HILLS PLAZA",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152215208",
            "telephone_number": "412-351-6545",
            "fax_number": "412-829-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ARDMORE BLVD",
            "address_2": "100 FOREST HILLS PLAZA",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152215208",
            "telephone_number": "412-351-6545",
            "fax_number": "412-829-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREHM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-351-6545",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT0131046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE SPECIALTY OUTPATIENT CENTERS-PHYSICAL AND PULMONARY REHABILIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Pittsburgh, PA
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• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.