Organization Active NPI

North Philadelphia Rehabilitation Center, Inc.

  • Rehabilitation Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1528286424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NORTH PHILADELPHIA REHABILITATION CENTER, INC.
Practice address
1500 W Erie Ave
Philadelphia, PA 19140-4139
Phone
(215) 225-6434
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Glick
Title
President
Phone
(215) 225-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1500 W Erie Ave
Philadelphia, PA 19140-4139

Mailing address

1500 W Erie Ave
Philadelphia, PA 19140-4139
Phone (215) 225-6434

National Provider Directory

National Provider Directory

Locations

1500 W Erie Ave
Philadelphia, PA 19140
Phone (215) 225-6434

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528286424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404139",
            "telephone_number": "215-225-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404139",
            "telephone_number": "215-225-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHILADELPHIA REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-225-6434"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.