NPIMap

Organization Active NPI

H2 Rehabilitation Extension Services, LLC

Doing business as H2 Health

  • Rehabilitation Clinic/Center
  • Boyertown, PA
National Provider Identifier
1780039149
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
H2 REHABILITATION EXTENSION SERVICES, LLC
Doing business as
H2 Health
Practice address
137 Montgomery Ave Ste 205
Boyertown, PA 19512-1300
Phone
(484) 658-3150
NPI assigned
May 4, 2016
Last updated
Nov 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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

Authorized official

Name
Amanda Streeter
Title
Vice President
Phone
(800) 699-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

137 Montgomery Ave Ste 205
Boyertown, PA 19512-1300

Mailing address

PO Box 932184
Atlanta, GA 31193-4912

Other practice location 1

2125 Elizabeth Ave Ste 1
Laureldale, PA 19605-2259
Phone (484) 855-3940

Other names 1

  • H2 Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170425001078 PA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6406131622 4 other NPIs on this enrollment
Practice locations: Boyertown, PA
O20250515000008 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406131622 Receives reassigned benefits from 32 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamsport, PA; Milton, PA; Sinking Spring, PA; Boyertown, PA; Bath, PA; Nazareth, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780039149. Details of each certification follow.

  • CCN 396877 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 396877

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
H2 HEALTH
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 28, 2017
Last certification
Dec 28, 2017
Ownership / control type
Proprietary
Facility address
137 Montgomery Avenue, Suite 205
Boyertown, PA 19512

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2125 Elizabeth Ave
#1
Laureldale, PA 19605
Phone (484) 855-3940

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1780039149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311934912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MONTGOMERY AVE STE 205",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121300",
            "telephone_number": "484-658-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Elizabeth Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Laureldale",
            "state": "PA",
            "postal_code": "196052259",
            "country_code": "US",
            "telephone_number": "484-855-3940",
            "fax_number": "610-929-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "H2 REHABILITATION EXTENSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boyertown, PA

Sources for this page

Verify at the official NPI Registry.