Summit Rehabilitation Associates, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUMMIT REHABILITATION ASSOCIATES, P.C.

Practice address

89 Beaver Dr
Du Bois, PA 15801-2425

Phone

(814) 371-4524

Fax

(814) 371-0331

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Laun R Hallstrom, M.D.

Title

President

Phone

(814) 371-4524

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1831201227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524",
            "fax_number": "814-371-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524",
            "fax_number": "814-371-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHABILITATION ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "HALLSTROM",
        "authorized_official_first_name": "LAUN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-371-4524",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019058600010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019058600001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA, RAILROAD MEDICARE",
            "identifier": "CK3541",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Daniel Strickland, PA-C
• Wendy Strouse Watt, O.D.
• Jing Su, DO
• Todd Ryan Sudik, CRNP
• Katherine Lynette Sullivan, ATC
• Monica A Supenia, CNA
• Jawahar N Suvarnakar, M.D.
• Christine Lynn Swackhammer, PHARM.D.
• Margaret A Swanson, CRNP
• Cassandra Swatsworth, PA-C

• Physical Medicine & Rehabilitation Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.