NPIMap

Organization Active NPI

Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Bradford, PA
National Provider Identifier
1912455486
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Practice address
1001 East Main Street
Suite 510
Bradford, PA 16701-3101
Phone
(814) 596-0016
Fax
(814) 596-0024
NPI assigned
Sep 14, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Erin McKinney
Title
Director, RCM Support
Phone
(412) 339-1063

Corporate family (same tax ID) 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Rehabilitation and Health Services Inc (74 organizations share this tax ID)

Locations

1001 E Main St
Ste 510
Bradford, PA 16701
Phone (814) 596-0016

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 East Main Street
Suite 510
Bradford, PA 16701-3101

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 343-4060

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1019541330001MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2025.

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1912455486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EAST MAIN STREET",
            "address_2": "SUITE 510",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013101",
            "telephone_number": "814-596-0016",
            "fax_number": "814-596-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR, RCM SUPPORT",
        "authorized_official_telephone_number": "412-339-1063"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019541330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.