Laurel Highlands Neuro-Rehabilitation

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

PS008498L Issued in PA

Legal business name

LAUREL HIGHLANDS NEURO-REHABILITATION

Practice address

111A Roosevelt Boulevard
Johnstown, PA 15906

Phone

(814) 619-4223

Fax

(814) 539-0985

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Larry Rutledge, PHD

Title

Executive Director

Phone

(814) 629-4223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1689727273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8330",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111A ROOSEVELT BOULEVARD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15906",
            "telephone_number": "814-619-4223",
            "fax_number": "814-539-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HIGHLANDS NEURO-REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-629-4223",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "PA",
            "license": "PS008498L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurel Medical Supplies, Inc.
• Laurel Pediatric Associates Inc
• Laurel Urology Inc
• Martina B Laurito, LCSW

• Rehabilitation Psychologist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Rehabilitation Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.