NPIMap

Organization Active NPI

Premier Medical Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
National Provider Identifier
1215382833
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PREMIER MEDICAL REHAB LLC
Practice address
253 N Hershey Rd
Harrisburg, PA 17112-9752
Phone
(717) 559-3111
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Jordan Klein, MDNPI 1205181245
Title
Owner
Phone
(717) 712-3617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

253 N Hershey Rd
Harrisburg, PA 17112-9752

Mailing address

253 N Hershey Rd
Harrisburg, PA 17112-9752
Phone (717) 559-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160603000179 PA Part B Supplier - Clinic/Group Practice 6709176795 Receives reassigned benefits from 9 practitioners
Practice locations: Carlisle, PA; Mechanicsburg, PA; Harrisburg, PA; Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

253 N Hershey Rd
Harrisburg, PA 17112
Phone (717) 559-3111

Practitioners & affiliated clinicians

Practitioners 9

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1215382833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 N HERSHEY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129752",
            "telephone_number": "717-559-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 N HERSHEY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129752",
            "telephone_number": "717-559-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-712-3617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.