Active NPI
Valley Rehabilitation, LLC
- Physical Therapist
- Montgomery, PA
National Provider Identifier
1760908941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- VALLEY REHABILITATION, LLC
- Practice address
- 43 S Main St
Montgomery, PA 17752-1120 - Phone
- (570) 547-0480
- Fax
- (570) 547-0498
- NPI assigned
- Aug 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Andrews, PT, MSPT
- Title
- Owner
- Phone
- (570) 547-0480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
43 S Main St
Montgomery, PA 17752-1120
Mailing address
43 S Main St
Montgomery, PA 17752-1120
Phone (570) 547-0480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011315740001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Montgomery, PA
- NPI 1679552087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1760908941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 S MAIN ST",
"city": "MONTGOMERY",
"state": "PA",
"postal_code": "177521120",
"telephone_number": "570-547-0480",
"fax_number": "570-547-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 S MAIN ST",
"city": "MONTGOMERY",
"state": "PA",
"postal_code": "177521120",
"telephone_number": "570-547-0480",
"fax_number": "570-547-0498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-547-0480",
"authorized_official_credential": "PT, MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011315740001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.