NPIMap

Organization Active NPI

PA Rehab Associates PC

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
National Provider Identifier
1316902885
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PA REHAB ASSOCIATES PC
Practice address
2230 S Broad St
Philadelphia, PA 19145-3950
Phone
(215) 334-3869
Fax
(215) 755-3300
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Pasquale A Colavita, DONPI 1376502849
Title
President
Phone
(215) 334-3869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2230 S Broad St
Philadelphia, PA 19145-3950

Mailing address

PO Box 709
Gladwyne, PA 19035-0709
Phone (610) 734-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040306000127 PA Part B Supplier - Clinic/Group Practice 2961390422 Receives reassigned benefits from 8 practitioners
Practice locations: Darby, PA; Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
PA Rehab 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.

Locations

1 E Beacon Light Ln
Ste B
Chester, PA 19013
Phone (610) 490-3900

1501 Lansdowne Ave
Ste 107
Darby, PA 19023
Phone (610) 534-3000

1501 Lansdowne Ave
Ste 102
Darby, PA 19023
Phone (610) 534-6130

2230 S Broad St
Fl 1
Philadelphia, PA 19145

5301 Cedar Ave
#1
Philadelphia, PA 19143
Phone (215) 748-9160

500 W Germantown Pike
Ste 1020
Plymouth Meeting, PA 19462
Phone (610) 941-4208

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1316902885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190350709",
            "telephone_number": "610-734-0630",
            "fax_number": "610-734-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453950",
            "telephone_number": "215-334-3869",
            "fax_number": "215-755-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA REHAB ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "COLAVITA",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-334-3869",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.

Verify at the official NPI Registry.