New Valley Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW VALLEY REHAB, LLC

Practice address

2793 Geryville Pike
Pennsburg, PA 18073-2306

Phone

(484) 851-3386

Fax

(484) 851-3469

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Dennis Dougherty, PT

Title

President

Phone

(484) 851-3386

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1649501172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CHERRY LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180159540",
            "telephone_number": "484-851-3386",
            "fax_number": "484-851-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 GERYVILLE PIKE",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180732306",
            "telephone_number": "484-851-3386",
            "fax_number": "484-851-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VALLEY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-851-3386",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016473200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liana Gwynn Miley, LPC
• Ashley Mistichelli
• Mia Christina Mormando
• Tina M Myers, DO
• Robert Phillip Nester III, PT, DPT
• Next Step Foot & Ankle Center, LLC
• Hannah Marie Nicolas, SLP-CCC
• Cheryl Ann Noskow, RPH.
• Leigh O'Brien, BCBA
• Anthony O'Hara, PT

• Physical Therapist in Pennsburg, PA
• Providers in Pennsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.