Everest Rehabilitation Services LLC
Organization Active NPI Comprehensive Outpatient Rehabilitation Facility (CORF) · Millbourne, PA
NPI 1386094027 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1386094027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
- License
- MD437798 (PA)
- Legal business name
- EVEREST REHABILITATION SERVICES LLC
- Practice address
- 6787 Market St Ste 102
Millbourne, PA 19082-1848 - Phone
- (610) 812-5752
- NPI assigned
- Jun 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Guofang Wang, MD
- Title
- Ceo
- Phone
- (610) 812-5752
Corporate family (same tax ID) 1
Practitioners 9
-
Guofang Wang, M.D.
-
Maribel Castillo, OTR/L
-
Cheuk Ho Chan, PT, DPT
-
Jeffrey Ryan Kees, DPT
-
Yan Lin, OTR/L
-
Thanh Mach, DPT
-
Briana McNeil, PT, DPT
-
Timna Gorde, PT, DPT
National Provider Directory
- Tax ID family
- Everest Rehabilitation Services
Locations
6786 Market St
Unit 103
Upper Darby, PA 19082
6787 Market St
Unit 103
Upper Darby, PA 19082
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | MD437798 | PA | Yes |
Addresses
Primary practice location
6787 Market St Ste 102
Millbourne, PA 19082-1848
Mailing address
23 Mount Aire Farm Rd
Glen Mills, PA 19342-3356
Phone (610) 812-5752
Other providers in Millbourne, PA
All providers in Millbourne, PA · Comprehensive Outpatient Rehabilitation Facility (CORF) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.