Organization Active NPI

Pottsville Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Pottsville, PA
National Provider Identifier
1649714874
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
POTTSVILLE REHABILITATION LLC
Practice address
1851 W End Ave
Suite C
Pottsville, PA 17901-2050
Phone
(570) 449-8684
Fax
(570) 622-4465
NPI assigned
Dec 7, 2016
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Zarar Bajwa, MD
Title
Owner
Phone
(570) 449-8684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1851 W End Ave
Suite C
Pottsville, PA 17901-2050

Mailing address

1851 W End Ave
Suite C
Pottsville, PA 17901-2050
Phone (570) 449-8684

National Provider Directory

National Provider Directory

Locations

1851 W End Ave
Ste C
Pottsville, PA 17901
Phone (570) 449-8684

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1649714874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 W END AVE",
            "address_2": "SUITE C",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-449-8684",
            "fax_number": "570-622-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W END AVE",
            "address_2": "SUITE C",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-449-8684",
            "fax_number": "570-622-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSVILLE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "ZARAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-449-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.