Excel Physical Medicine & Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EXCEL PHYSICAL MEDICINE & REHABILITATION LLC

Practice address

2401 E Tioga St
Philadelphia, PA 19134-4625

Phone

(267) 530-1255

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Patricia A White

Title

Billing Specialist

Phone

(904) 436-5153

Specialties & licenses 1

Addresses

Other names 1

• Eric Scot Rosin Other name

Locations

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1306493614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4244",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340643",
            "telephone_number": "267-530-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E TIOGA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344625",
            "telephone_number": "267-530-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 S 52nd St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191432630",
            "country_code": "US",
            "telephone_number": "267-530-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 W Tabor Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413041",
            "country_code": "US",
            "telephone_number": "267-530-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6715 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191262841",
            "country_code": "US",
            "telephone_number": "267-530-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCEL PHYSICAL MEDICINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "904-436-5153"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Scot Rosin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.