Everest Rehabilitation Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVEREST REHABILITATION SERVICES LLC

Practice address

23 Mount Aire Farm Rd
Glen Mills, PA 19342-3356

Phone

(610) 812-5752

NPI assigned

Jun 30, 2016

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guofang Wang, MDNPI 1326215690

Title

Director

Phone

(610) 812-5752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Everest Rehabilitation Services2 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.

• Everest Rehabilitation Services LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Millbourne, PA
  • NPI 1386094027
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheuk Ho Chan, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1659723146
  Medicare reassignment NPD
• Jeffrey Ryan Kees, DPT

  • Orthopedic Physical Therapist
  • Upper Darby, PA
  • NPI 1497031520
  Medicare reassignment NPD
• Timna Gorde, PT, DPT

  • Physical Therapist
  • Richmond, VA
  • NPI 1194418038

  PA

  Medicare reassignment NPD
• Guofang Wang, M.D.

  • Hospitalist Physician
  • Ridley Park, PA
  • NPI 1326215690
  NPD Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1346691342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MOUNT AIRE FARM RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423356",
            "telephone_number": "610-812-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MOUNT AIRE FARM RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423356",
            "telephone_number": "610-812-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GUOFANG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-812-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erickson Health Medical Group of PA PC
• Erickson Health Medical Group of Pennsylvania PC
• Erickson Living Health Services, LLC (Erickson Living Health Services)
• Erickson Living Health Services, LLC (Erickson Living Health Services)
• Benjamin Espenhorst, MD
• Debra Eyer
• John Youashi Fankmeni, A-GNP
• Nicolette Fattori
• Allison Faust
• Kamara Fields

• Physical Therapy Clinic/Center in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.