Active NPI
Pocono Rehab & Therapy Ctr, LLC
- Physical Medicine & Rehabilitation Physician
- East Stroudsburg, PA
National Provider Identifier
1891802492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008582400001 | Medicaid | PA | |
| 1639354 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- East Stroudsburg, PA
- NPI 1538118203
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
- Pocono Orthpopaedics Surgery
- Pocono Pediatric Associates Inc
- Pocono Podiatry and Wound Care, LLC.
- Pocono Podiatry Associates
- Pocono Psychiatric Associates
- Pocono Surgical Associates
- Pocono Tranquil Gardens, LLC
- Pocono Urology Assoc (Thomas H Gulick MD PC)
- Pocono Vascular Institute PC
- Pocono Vna-Hospice (Lehigh Valley Hospice Pocono)
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.