NPIMap

Organization Active NPI

Pain Medicine and Rehabilitation Specialists

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, PA
National Provider Identifier
1780678045
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
05006774E Issued in PA
Legal business name
PAIN MEDICINE AND REHABILITATION SPECIALISTS
Practice address
160 N Pointe Blvd
Suite 115
Lancaster, PA 17601-4134
Phone
(717) 560-4480
Fax
(717) 560-4485
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Randy A Cohen, DO
Title
Doctor
Phone
(717) 560-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 05006774E PA Primary

Addresses

Primary practice location

160 N Pointe Blvd
Suite 115
Lancaster, PA 17601-4134

Mailing address

160 N Pointe Blvd
Suite 115
Lancaster, PA 17601-4134
Phone (717) 560-4480

Other names 1

  • Conestoga Rehabilitation Associates Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Conestoga Rehabilitation Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 N Pointe Blvd
Ste 115
Lancaster, PA 17601
Phone (717) 560-4480

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1780678045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 115",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-560-4480",
            "fax_number": "717-560-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 115",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-560-4480",
            "fax_number": "717-560-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE AND REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "717-560-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "05006774E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conestoga Rehabilitation Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.