NPIMap

Organization Active NPI

Post-Acute Physicians of Pennsylvania PLLC

  • Physical Medicine & Rehabilitation Physician
  • Mechanicsburg, PA
National Provider Identifier
1255729489
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD449845 Issued in PA
Legal business name
POST-ACUTE PHYSICIANS OF PENNSYLVANIA PLLC
Practice address
175 Lancaster Blvd
Mechanicsburg, PA 17055-3562
Phone
(877) 749-7428
Fax
(512) 628-3314
NPI assigned
Dec 22, 2014
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Jose Vargas, MDNPI 1295874840
Title
Ceo
Phone
(877) 749-7428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD449845 PA Primary

Addresses

Primary practice location

175 Lancaster Blvd
Mechanicsburg, PA 17055-3562

Mailing address

1776 Woodstead CT
Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

675 Good Dr
Lancaster, PA 17601-2426
Phone (877) 749-7428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150722004571 PA Part B Supplier - Clinic/Group Practice 3870806615 Receives reassigned benefits from 11 practitioners
Practice locations: Camp Hill, PA; Warrington, PA; Plymouth Meeting, PA; Mechanicsburg, PA; Langhorne, PA; Duncannon, PA; Lancaster, PA; Carlisle, PA…

National Provider Directory

National Provider Directory

Locations

1208 Langhorne Newtown Rd
Ofc St
Langhorne, PA 19047

616 FM 1960 Rd W
Ste 230
Houston, TX 77090
Phone (832) 484-8100

Practitioners & affiliated clinicians

Practitioners 12

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": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1255729489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT",
            "address_2": "STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "281-724-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANCASTER BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553562",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Good Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012426",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POST-ACUTE PHYSICIANS OF PENNSYLVANIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-749-7428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD449845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.