NPIMap

Organization Active NPI

Phoenix Rehabilitation and Health Services, Inc.

  • Speech-Language Pathologist
  • Blairsville, PA
National Provider Identifier
1972604783
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Practice address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone
(724) 343-4060
Fax
(724) 343-4069
NPI assigned
Sep 26, 2006
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Rachel Marie Stamper
Title
VP of Payor Relations
Phone
(205) 999-7371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

430 Innovation Drive
Blairsville, PA 15717-8096

Mailing address

430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060

Other identifiers 2

IdentifierTypeStateIssuer
1614133OtherPAHIGHMARK BLUE SHIELD ST
2300215000OtherPAINDEPENDENCE BLUE CR. ST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030912000007 PA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3476464298 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Rehabilitation and Health Services Inc74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations (25 of 43)

2032 E Pleasant Valley Blvd
Ste 3
Altoona, PA 16602
Phone (814) 944-8264

1116 Horsham Rd
#306
Ambler, PA 19002
Phone (215) 646-2064

196 Match Factory Pl
Bellefonte, PA 16823
Phone (814) 355-3561

232 Match Factory Pl
Bellefonte, PA 16823
Phone (814) 355-3561

1701 Fowler Ave
Berwick, PA 18603
Phone (570) 752-2925

1000 Market St
Ste 11
Bloomsburg, PA 17815
Phone (570) 784-1896

207 W 4th St
Ste A
Bridgeport, PA 19405
Phone (610) 228-4641

1294 E Main St
#1
Clarion, PA 16214
Phone (814) 297-8093

1800 Daisy Street Ext
Ste 360
Clearfield, PA 16830
Phone (814) 205-4043

111 Northumberland St
Danville, PA 17821
Phone (570) 275-4715

1 Park Ln
Ste 200
Douglassville, PA 19518
Phone (610) 482-4632

4607 Division Hwy
East Earl, PA 17519
Phone (717) 354-2332

3071 William Penn Hwy
Easton, PA 18045
Phone (610) 252-6967

9 E Roosevelt Ave
Elysburg, PA 17824
Phone (570) 221-6312

564 Old York Rd
Ste 5
Etters, PA 17319
Phone (717) 212-9229

3130 Pricetown Rd
Ste B
Fleetwood, PA 19522
Phone (484) 577-4410

401 S Lehigh Ave
Frackville, PA 17931
Phone (570) 874-3530

544 W Market St
Gratz, PA 17030
Phone (717) 365-3653

333 Harvey Ave
Ste 4
Greensburg, PA 15601
Phone (724) 837-3401

685 Carey Ave
Hanover Township, PA 18706
Phone (570) 829-0539

351 Main St
Harleysville, PA 19438
Phone (215) 256-6740

5690 Allentown Blvd
Ste 200
Harrisburg, PA 17112
Phone (717) 216-8699

1201B N Church St
Ste 307
Hazle Township, PA 18202
Phone (570) 455-7108

184 Donald Ln
Ste 10
Johnstown, PA 15904
Phone (814) 266-1974

425 Old Kersey Rd
Kersey, PA 15846
Phone (814) 781-1141

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1972604783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DRIVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DRIVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "STAMPER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "205-999-7371"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ST",
            "identifier": "1614133",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CR. ST",
            "identifier": "2300215000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.