Main Line Rehabilitation Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAIN LINE REHABILITATION ASSOCIATES

Practice address

668 Exton CMNS
Exton, PA 19341-2446

Phone

(610) 280-0180

Fax

(610) 280-0192

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James Leo Carroll

Title

Director of Operations

Phone

(610) 280-0180

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Main Line Rehabilitation Associates2 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.

• Main Line Rehabilitation Associates Inc

  • Home Health Agency
  • Exton, PA
  • NPI 1548336621
  NPD tax ID

Locations

Practitioners 1

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

• Stephanie Marie Larrisey, LPC

  • Counselor
  • Exton, PA
  • NPI 1942700851
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1265688188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412446",
            "telephone_number": "610-280-0180",
            "fax_number": "610-280-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412446",
            "telephone_number": "610-280-0180",
            "fax_number": "610-280-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "610-280-0180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000009070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Magee
• Alexandra Mahon
• Main Line Health
• Main Line Hospitals, Inc.
• Main Line Pain & Acupuncture Center, LLC.
• Main Line Rehabilitation Associates Inc
• Hardikkumar Makadia, DMD
• Premraj Makkuni, MD
• Marina V. Makous, MD
• Shamika Maldonado, LPN,PCHA

• Community/Behavioral Health Agency in Exton, PA
• Providers in Exton, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.