NPIMap

Organization Active NPI

Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Pottsville, PA
National Provider Identifier
1770030413
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Practice address
870 Gordon Nagle TRL
Suite 100
Pottsville, PA 17901-4203
Phone
(570) 399-5331
Fax
(570) 399-5374
NPI assigned
Sep 9, 2016
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Erin McKinney
Title
Director, RCM Support
Phone
(412) 339-1063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

870 Gordon Nagle TRL
Suite 100
Pottsville, PA 17901-4203

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 343-4060

Other identifiers 1

IdentifierTypeStateIssuer
1019541330001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Rehab and HLTH SVCS74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1770030413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 GORDON NAGLE TRL",
            "address_2": "SUITE 100",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179014203",
            "telephone_number": "570-399-5331",
            "fax_number": "570-399-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR, RCM SUPPORT",
        "authorized_official_telephone_number": "412-339-1063"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019541330001",
            "state": "PA"
        }
    ],
    "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 Feb 26, 2025; 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.