Organization Active NPI

Pocono Rehab & Therapy Ctr, LLC

  • Physical Medicine & Rehabilitation Physician
  • East Stroudsburg, PA
National Provider Identifier
1891802492
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
POCONO REHAB & THERAPY CTR, LLC
Practice address
3 Parkinson's Road
Suite C
East Stroudsburg, PA 18301
Phone
(570) 476-4950
NPI assigned
Aug 23, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Peggy Slinger
Title
Billing Manager
Phone
(570) 517-5822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD419281 PA
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3 Parkinson's Road
Suite C
East Stroudsburg, PA 18301

Mailing address

PO Box 432
East Stroudsburg, PA 18301
Phone (570) 517-7382

Other identifiers 2

IdentifierTypeStateIssuer
1008582400001MedicaidPA
1639354OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3 Parkinsons Rd
Ste C
East Stroudsburg, PA 18301
Phone (570) 517-7382

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1891802492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-517-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKINSON'S ROAD",
            "address_2": "SUITE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-476-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO REHAB & THERAPY CTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "SLINGER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "570-517-5822"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD419281",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008582400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1639354",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.