Penn State Hershey Rehabilitation LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

PENN STATE HERSHEY REHABILITATION LLC

Doing business as

Penn State Hershey Rehabilitation Hospital

Practice address

1135 Old W Chocolate Ave
Hummelstown, PA 17036-9188

Phone

(717) 972-1100

Fax

(717) 975-9981

NPI assigned

Mar 26, 2010

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Duggan

Title

VP of Managing Member

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Penn State Hershey Rehabilitation Hospital Doing business as

Tax ID family

Penn State Hershey Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Penn State Hershey Rehabilitation LLC

  • Rehabilitation Hospital
  • Hummelstown, PA
  • NPI 1942416946
  NPD tax ID

Locations

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1124342696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 OLD W CHOCOLATE AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369188",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 OLD W CHOCOLATE AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369188",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATE HERSHEY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OF MANAGING MEMBER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn State Hershey Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucas Martin Pantalone, D.C.
• Grace Parks, DPT
• Allison Marie Parrish
• Hannah Noel Paymer
• Penn State Hershey Rehabilitation LLC
• Penn State Hershey Rehabilitation LLC
• Pennsylvania CVS Pharmacy, L.L.C (CVS Pharmacy # 11040)
• Alexis Hope Petersen
• Pinnacle Health Medical Services (UPMC Imaging Services at Hummelstown)
• Pinnacle Health Medical Services (PinnacleHealth FamilyCare West Hanover)

• Rehabilitation Hospital in Hummelstown, PA
• Providers in Hummelstown, PA by specialty
• Rehabilitation Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.