Active NPI
Vincera Rehab, LLC
- Physical Therapy Clinic/Center
- Philadelphia, PA
National Provider Identifier
1346680675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VINCERA REHAB, LLC
- Practice address
- 1200 Constitution Ave
Suite 210
Philadelphia, PA 19112-1306 - Phone
- (267) 592-3200
- NPI assigned
- Jul 1, 2013
- 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
- James Brennan
- Title
- Physical Therapist
- Phone
- (267) 592-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1200 Constitution Ave
Suite 210
Philadelphia, PA 19112-1306
Mailing address
1200 Constitution Ave
Suite 210
Philadelphia, PA 19112-1306
Other practice location 1
205 Tuckerton Rd Ste C
Medford, NJ 08055-8817
Phone (609) 975-8205
National Provider Directory
National Provider DirectoryLocations
205 Tuckerton Rd
Ste C
Medford, NJ 08055
Phone (609) 975-8205
1200 Constitution Ave
Ste 210
Philadelphia, PA 19112
Phone (267) 592-3190
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1235571605
-
- Physical Therapist
- Philadelphia, PA
- NPI 1699186940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1346680675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONSTITUTION AVE",
"address_2": "SUITE 210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191121306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONSTITUTION AVE",
"address_2": "SUITE 210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191121306",
"telephone_number": "267-592-3200"
}
],
"practiceLocations": [
{
"address_1": "205 Tuckerton Rd Ste C",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "NJ",
"postal_code": "080558817",
"country_code": "US",
"telephone_number": "609-975-8205",
"fax_number": "844-528-1795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VINCERA REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-01",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BRENNAN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "267-592-3200"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.