Phoenix Rehabilitation and Health Services of Georgia LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX REHABILITATION AND HEALTH SERVICES OF GEORGIA LLC

Practice address

2000 Westinghouse Dr Ste 200
Cranberry Township, PA 16066-5238

Phone

(724) 584-5732

NPI assigned

Sep 17, 2018

Organization subpart

Yes

Parent organization

PHOENIX REHABILITATION AND HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Brenda Metal-Confer

Title

Sr. Credentialing

Phone

(724) 448-2733

Specialties & licenses 1

Addresses

Part of

Phoenix Rehabilitation and Health Services Inc

Locations

Practitioners 1

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

• David Louis Angelo, M.P.T.

  • Physical Therapist
  • Mt Pleasant, PA
  • NPI 1740391879
  NPD (past)

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1134603103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-584-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 Peachtree Pkwy Ste 702",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246053",
            "country_code": "US",
            "telephone_number": "470-297-5575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12220 Birmingham Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "300044186",
            "country_code": "US",
            "telephone_number": "770-686-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES OF GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX REHABILITATION AND HEALTH SERVICES, INC.",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "METAL-CONFER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SR. CREDENTIALING",
        "authorized_official_telephone_number": "724-448-2733"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Peterson, PTA
• Bruno Pompeo Petruccelli, MD, MPH
• Kristen Pflugh
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• Phoenix Rehabilitation and Health Services, Inc.
• Phoenix Rehabilitation and Health Services, Inc.

• All providers in Cranberry Township, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.