Lower Merion Rehabilitation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD038380L Issued in PA

Legal business name

LOWER MERION REHABILITATION

Practice address

100 E Lancaster Ave Ste B7
Wynnewood, PA 19096-3450

Phone

(484) 476-3391

Fax

(866) 848-9001

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carol J Debakker, M.D.NPI 1861547150

Title

President

Phone

(844) 476-3391

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHJFBD

Practitioners 3

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

• Carol J. Debakker, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wynnewood, PA
  • NPI 1861547150
  Medicare reassignment Care Compare group NPD Authorized official
• Angela V. D'Orsi, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wynnewood, PA
  • NPI 1104971498
  Medicare reassignment Care Compare group NPD
• Kathryn Zakrzewski, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Wynnewood, PA
  • NPI 1972982494
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1447305776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190960457",
            "telephone_number": "484-476-3391",
            "fax_number": "866-848-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE B7",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-3391",
            "fax_number": "866-848-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lancaster Ave",
            "address_2": "Lankenau Hospital - PMR Dept.",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963450",
            "country_code": "US",
            "telephone_number": "484-476-3391",
            "fax_number": "484-476-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOWER MERION REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "DEBAKKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-476-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD038380L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTON MERCY HEALTH",
            "identifier": "30034459",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2512748",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH4023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0245761000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000150649",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merianne K Lorenzen, PA-C
• Pradeep Ambadas Lothe, M.D.
• Lai Kwan Louie, RPH
• Louis X Santore MD PC
• Lovingheart Home Care Services LLC
• Robert Kenneth Lowry, PA-C
• Jessica Luc, MD, LLM, FRCSC
• Marissa Luft, CRNP
• Christine Nicole Luiken, PA-C
• Emma Sue Lunking, DO

• Physical Medicine & Rehabilitation Physician in Wynnewood, PA
• Providers in Wynnewood, 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 Jan 14, 2021; 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.