Organization Active NPI

Valley Rehabilitation, LLC

  • Physical Therapist
  • Montgomery, PA
National Provider Identifier
1760908941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan Andrews, PT, MSPTNPI 1679552087
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1011315740001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018000598 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870869928 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.