Broomall Rehab Services Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BROOMALL REHAB SERVICES INC.

Practice address

1999 Sproul Rd
Suite 10
Broomall, PA 19008-3508

Phone

(610) 359-1134

Fax

(610) 353-2109

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary J Brand

Title

Administrator

Phone

(610) 359-1134

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194770842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD",
            "address_2": "SUITE 10",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-359-1134",
            "fax_number": "610-353-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD",
            "address_2": "SUITE 10",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-359-1134",
            "fax_number": "610-353-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMALL REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-359-1134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0073983000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broomall Eye Care, P.C.
• Broomall Healthcare Group, Inc.
• Broomall Medical Group, PC
• Broomall Operating Company LP
• Broomall Radiology Associates PC
• Timothy J Brosnan, D.M.D.
• Amanda Lee Brown, M.A.
• David Andrew Brown, DDS
• Emma Rose Brown, MSOT, OTR/L
• Paulette Brown, MA, LPC

• Physical Therapist in Broomall, PA
• Providers in Broomall, PA by specialty
• 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.