Organization Active NPI

York Rehabilitation Assoc PC

  • Physical Medicine & Rehabilitation Physician
  • York, PA
National Provider Identifier
1295817559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0017818340003MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.