Active NPI
Flagship Rehabilitation, Inc.
- Occupational Therapist
- Mechanicsburg, PA
National Provider Identifier
1306057971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- FLAGSHIP REHABILITATION, INC.
- Practice address
- 5225 Wilson LN
Mechanicsburg, PA 17055-6663 - Phone
- (717) 591-8063
- Fax
- (717) 697-6576
- NPI assigned
- May 25, 2007
- 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
- Mr. William E Freas Jr., CCC-SLP
- Title
- Ceo
- Phone
- (301) 722-3215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | PA | Primary |
Addresses
Primary practice location
5225 Wilson LN
Mechanicsburg, PA 17055-6663
Mailing address
157 Baltimore St
Suite 201
Cumberland, MD 21502-2319
Phone (301) 722-3215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000167 | PA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 6608777552 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Middletown, PA; Waynesboro, PA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Speech-Language Pathologist
- Mechanicsburg, PA
- NPI 1114138682
O20040212000167
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306057971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST",
"address_2": "SUITE 201",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022319",
"telephone_number": "301-722-3215",
"fax_number": "301-722-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WILSON LN",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556663",
"telephone_number": "717-591-8063",
"fax_number": "717-697-6576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAGSHIP REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FREAS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-722-3215",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PA",
"license": null,
"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 Aug 22, 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.