Pasquale A Colavita, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS008864L Issued in PA

Practice address

2230 S Broad St
Phila, PA 19145-3950

Phone

(215) 334-3869

Fax

(215) 755-3300

NPI assigned

Mar 22, 2006

Last updated

May 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Philadelphia College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PA Rehab Associates PCGroup PAC ID 2961390422, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
• Mercy Fitzgerald Hospital Inpatient rehabilitation facility, Darby, PA, CCN 39T156

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PA Rehab Associates PC

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1316902885
  Medicare reassignment Care Compare group NPD Authorized official
• Mercy Catholic Medical Center of Southeastern PA

  dba Mercy Fitzgerald Hospital - Rehab

  • Rehabilitation Hospital Unit
  • Darby, PA
  • NPI 1538220702
  NPD (past)
• Tara Lyn Cuda DO PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1588613988
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Catholic Medical Center of Southeastern PA

  dba Mercy Fitzgerald Hospital - Rehab

  • Rehabilitation Hospital Unit
  • Darby, PA
  • NPI 1538220702

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1376502849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453950",
            "telephone_number": "215-334-3869",
            "fax_number": "215-755-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453950",
            "telephone_number": "215-334-3869",
            "fax_number": "215-755-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITA",
        "first_name": "PASQUALE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS008864L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016964390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell J Cohen, M.D.
• Morton J Cohen, DDS
• Richard Bennett Cohen, DPM
• Sidney Cohen, M.D.
• Anthony Colavita, MD
• Gregory C Colelli
• Coleman and Turner Dental Associates
• Nasheed Coleman
• Rashida Ebony Coleman
• Raymond Lloyd Coleman, M.D.

• Physical Medicine & Rehabilitation Physician in Phila, PA
• Providers in Phila, 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 May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.