Rehabilitation Management Specialists, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC006207-L Issued in PA

Legal business name

REHABILITATION MANAGEMENT SPECIALISTS, LLC

Practice address

2207 Valley View Dr S
Saylorsburg, PA 18353

Phone

(610) 349-6679

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Danniell Jesus Reyes, CCSP, DACRB, CIRSNPI 1124053905

Title

Director

Phone

(610) 349-6679

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• ACTIVE LIFE Doing business as

Tax ID family

Active Life2 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.

• Rehabilitation Management Specialists, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bethlehem, PA
  • NPI 1265605224
  NPD tax ID

Practitioners 1

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

• Danniell Jesus Reyes, DC, CCSP, DACRB

  • Chiropractor
  • Westminster, CO
  • NPI 1124053905

  Rehabilitation

  NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1205042298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 VALLEY VIEW DR S",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538361",
            "telephone_number": "610-349-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 VALLEY VIEW DR S",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "18353",
            "telephone_number": "610-349-6679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bala Ave",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190043212",
            "country_code": "US",
            "telephone_number": "619-349-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHABILITATION MANAGEMENT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DANNIELL",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-349-6679",
        "authorized_official_credential": "CCSP, DACRB, CIRS"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC006207-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC",
            "identifier": "1445656",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007957156",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "01877901",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPC",
            "identifier": "3000378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN.",
            "identifier": "506314",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "0265170000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elizabeth Lusto, ATC, LAT
• Richard William Martinetti, P.T.
• Adrienne Marie Moran
• Emmanuel Abuan Ortiz, PT
• April Parnau, RN
• Michael Joseph Spece, M.S.
• John Troianiello
• Mollie Unger
• West End Advanced Life Support, Inc

• Rehabilitation Chiropractor in Saylorsburg, PA
• Providers in Saylorsburg, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.