Organization Active NPI

The Rehabilitation Medicine Team, PC

  • Specialist
  • Harrisburg, PA
National Provider Identifier
1396759296
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD044026E Issued in PA
Legal business name
THE REHABILITATION MEDICINE TEAM, PC
Practice address
4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone
(717) 991-5030
Fax
(717) 540-0845
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Christopher Scott Cannon, MD
Title
President
Phone
(717) 991-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD044026E PA Primary

Addresses

Primary practice location

4518 Union Deposit Rd
Harrisburg, PA 17111-2921

Mailing address

PO Box 126638
Harrisburg, PA 17112-6638
Phone (717) 991-5030

National Provider Directory

National Provider Directory

Locations

4518 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 526-1030

2025 Technology Pkwy
Ste 209
Mechanicsburg, PA 17050
Phone (717) 732-8182

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1396759296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126638",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171126638",
            "telephone_number": "717-991-5030",
            "fax_number": "717-540-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112921",
            "telephone_number": "717-991-5030",
            "fax_number": "717-540-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHABILITATION MEDICINE TEAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-991-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD044026E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

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