NPIMap

Organization Active NPI

Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Jersey Shore, PA
National Provider Identifier
1194272997
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Practice address
320 Thomas St
Jersey Shore, PA 17740-1049
Phone
(570) 398-1859
Fax
(570) 398-1707
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Erin McKinney
Title
Director, RCM Support
Phone
(412) 339-1063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

320 Thomas St
Jersey Shore, PA 17740-1049

Mailing address

430 Innovation Dr
Blairsville, PA 15717-8096
Phone (724) 343-4060

Other identifiers 1

IdentifierTypeStateIssuer
1019541330001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Rehabilitation and Health Services Inc74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1194272997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DR",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 THOMAS ST",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177401049",
            "telephone_number": "570-398-1859",
            "fax_number": "570-398-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR, RCM SUPPORT",
        "authorized_official_telephone_number": "412-339-1063"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019541330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Shore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.