Western Pennsylvania Rehab Associates,LTD

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

MD037589E Issued in PA

Legal business name

WESTERN PENNSYLVANIA REHAB ASSOCIATES,LTD

Practice address

159 Waterdam Rd
Suite 240
MC Murray, PA 15317-2576

Phone

(724) 941-8702

Fax

(724) 941-9089

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia L Dimauro, MD

Title

Owner

Phone

(724) 941-8702

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1376668608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WATERDAM RD",
            "address_2": "SUITE 240",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172576",
            "telephone_number": "724-941-8702",
            "fax_number": "724-941-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WATERDAM RD",
            "address_2": "SUITE 240",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172576",
            "telephone_number": "724-941-8702",
            "fax_number": "724-941-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA REHAB ASSOCIATES,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "DIMAURO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-941-8702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "PA",
            "license": "MD037589E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011527870003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.