Active NPI
York Rehabilitation Assoc PC
- Physical Medicine & Rehabilitation Physician
- York, PA
National Provider Identifier
1295817559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- YORK REHABILITATION ASSOC PC
- Practice address
- 1881 Loucks Road
York, PA 17408 - Phone
- (717) 764-0840
- Fax
- (717) 764-1601
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Sicilla, MD
- Title
- Physician
- Phone
- (717) 764-0840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PA | Primary |
Addresses
Primary practice location
1881 Loucks Road
York, PA 17408
Mailing address
PO Box 175
Northumberland, PA 17857
Phone (570) 988-0925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017818340003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295817559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"city": "NORTHUMBERLAND",
"state": "PA",
"postal_code": "17857",
"telephone_number": "570-988-0925",
"fax_number": "570-988-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 LOUCKS ROAD",
"city": "YORK",
"state": "PA",
"postal_code": "17408",
"telephone_number": "717-764-0840",
"fax_number": "717-764-1601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YORK REHABILITATION ASSOC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SICILLA",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "717-764-0840",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017818340003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- 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.