Central Penn Rehabilitation Associates, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CENTRAL PENN REHABILITATION ASSOCIATES, INC

Practice address

1520 Martin St
State College, PA 16803-3058

Phone

(814) 231-1220

Fax

(814) 231-1222

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John C Evans, D.O.

Title

Physician

Phone

(814) 231-1220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1376576728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MARTIN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033058",
            "telephone_number": "814-231-1220",
            "fax_number": "814-231-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MARTIN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033058",
            "telephone_number": "814-231-1220",
            "fax_number": "814-231-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENN REHABILITATION ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-231-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010352430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Cawley III, PHD
• Andrew George Cawthern, ATC
• CCP Retail LLC
• CDB Therapy, LLC
• Center for Community Resources, Inc.
• Central Penn Vision Associates, PC
• Central Pennsylvania Endodontics, LLC
• Central Pennsylvania Homecare, LLC
• Centre Counseling and Wellness, LLC
• Centre County Anesthesia, P.C.

• Physical Medicine & Rehabilitation Physician in State College, PA
• Providers in State College, 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 Oct 9, 2007; 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.