Mid Atlantic Rehabilitation Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MID ATLANTIC REHABILITATION SERVICES

Practice address

743 N 24TH St
Philadelphia, PA 19130-2539

Phone

(215) 763-3992

Fax

(215) 235-1588

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Mitchell

Title

Director

Phone

(215) 763-3992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740286871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 N 24TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-763-3992",
            "fax_number": "215-235-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 N 24TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-763-3992",
            "fax_number": "215-235-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-763-3992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Mickler, MD
• Rebekah Mickles, CRNA
• Matthew Micklow
• Matthew Adam Miclette, RN
• Amanda Catherine Micucio, D.O.
• Mid-Atlantic Rehabilitation Services, Inc
• Mid-Atlantic Vein and Vascular Institute LLC
• Midatlantic Medevac LLC (MidAtlantic MedEvac)
• Middle Ground Solutions LLC
• Lynne Middleberg-Warszawski, RPH

• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• 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.