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
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 PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 42)

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

1116 Horsham Rd
Ste 3
Ambler, PA 19002
Phone (215) 646-2064

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

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

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

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

142 Franklin Farm Ln
Chambersburg, PA 17202
Phone (717) 263-5147

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

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

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

1 Buffalo St
Ste 1
Coudersport, PA 16915
Phone (814) 320-0483

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

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

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

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

600 Carlisle St
Ste C
Hanover, PA 17331
Phone (717) 797-0351

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

928 Allegheny St
Jersey Shore, PA 17740
Phone (570) 398-1859

320 Thomas St
Jersey Shore, PA 17740
Phone (570) 398-1859

184 Donald Ln
Ste 10
Johnstown, PA 15904
Phone (610) 917-0725

10261 State Route 85
#2
Kittanning, PA 16201
Phone (724) 783-7192

71 N Juniata St
Ste A
Lewistown, PA 17044
Phone (717) 953-9643

127 N Main St
Mansfield, PA 16933
Phone (570) 662-2317

210 Hogan Blvd
Mill Hall, PA 17751
Phone (570) 484-9355

316 Center Rd
Monroeville, PA 15146
Phone (412) 374-3127

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "193400000X MULTIPLE SINGLE SPECIALTY 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.