Organization Active NPI

Springfield Rehabilitation Associates, LLC

Doing business as SMART Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Media, PA
National Provider Identifier
1184662116
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
05007485L Issued in PA
Legal business name
SPRINGFIELD REHABILITATION ASSOCIATES, LLC
Doing business as
SMART Rehabilitation Associates, LLC
Practice address
176 S New Middletown Road
Suite 105
Media, PA 19063
Phone
(610) 892-7344
Fax
(610) 892-7304
NPI assigned
Jun 3, 2006
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Colette A Murphy
Title
Office Manager
Phone
(610) 892-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05007485L PA Primary

Addresses

Primary practice location

176 S New Middletown Road
Suite 105
Media, PA 19063

Mailing address

176 S. New Middletown Road
Suite 105
Media, PA 19063
Phone (610) 892-7344

Other names 1

  • SMART Rehabilitation Associates, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040826000361 PA Part B Supplier - Clinic/Group Practice 4688649486 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Mills, PA
O20140509000041 DE Part B Supplier - Clinic/Group Practice 4688649486 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE
O20140523000475 NJ Part B Supplier - Clinic/Group Practice 4688649486 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, NJ

National Provider Directory

National Provider Directory

Locations

1788 Wilmington W Chester Pike
Ste 100
Glen Mills, PA 19342
Phone (610) 892-7344

176 S New Middletown Rd
Ste 105
Media, PA 19063
Phone (610) 892-7344

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1184662116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S. NEW MIDDLETOWN ROAD",
            "address_2": "SUITE 105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-892-7344",
            "fax_number": "610-892-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN ROAD",
            "address_2": "SUITE 105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-892-7344",
            "fax_number": "610-892-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD REHABILITATION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-892-7344"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "05007485L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART Rehabilitation Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.