MLN Rehab., Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD058411L Issued in PA

Legal business name

MLN REHAB., INC.

Practice address

12033 Bustleton Ave
Philadelphia, PA 19116-2107

Phone

(215) 671-8840

Fax

(215) 671-1933

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mikhail Freylikh, MDNPI 1003853219

Title

Director

Phone

(215) 962-2705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail Freylikh, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1003853219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1396790705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DALTON WAY",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189665304",
            "telephone_number": "215-968-5159",
            "fax_number": "215-968-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162107",
            "telephone_number": "215-671-8840",
            "fax_number": "215-671-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLN REHAB., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "FREYLIKH",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-962-2705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD058411L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, 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 Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.