H2 Rehabilitation Extension Services LLC
Organization Active NPI Rehabilitation Clinic/Center · Williamsport, PA
NPI 1447012000 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1447012000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- H2 REHABILITATION EXTENSION SERVICES LLC
- Practice address
- 1251 Rural Ave
Williamsport, PA 17701-1697 - Phone
- (570) 327-1760
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Amanda Streeter
- Title
- Vice President
- Phone
- (800) 699-9395
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 40
Practitioners 11
-
Jaime McNabb, OTR
-
Maria B. Potts, P.T.
-
Magdalena Valentin, M.S.
-
Cara Kernoschak, PT, DPT
-
Alexis M Namyak, OTD, OTR/L
-
Trica Johanna-Regalado D'Spain, PT, DPT, TPS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170330000012 | PA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 6406131622 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Milton, PA; Williamsport, PA; Montoursville, PA |
| O20250515000008 | PA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6406131622 |
Receives reassigned benefits from 32 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Williamsport, PA; Milton, PA; Sinking Spring, PA; Boyertown, PA; Bath, PA; Nazareth, PA |
National Provider Directory
- Tax ID family
- H2 Health
Locations
1490 Killingsworth Way
Ste H2
The Villages, FL 32162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
1251 Rural Ave
Williamsport, PA 17701-1697
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Other names
- H2 Health
Other providers in Williamsport, PA
- Nancy Guerrisky
- Dennis Guffey
- Sally Guillaume
- Michael A Guiswite
- Puneet Gupta
- H2 Rehabilitation Extension Services, LLC
- Brian Patrick Haas
- Taylor Haas
- Brian Scott Hackman
- Brenda Hagedorn
All providers in Williamsport, PA · Rehabilitation Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.