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NPI Code Detail

MEDICARE: NEUROAXIS REHABILITATION SERVICES

MEDICARE: NEUROAXIS REHABILITATION SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1063172807
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROAXIS REHABILITATION SERVICES
Provider Business Mailing Address
First Line : 1159 BAYBERRY DR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-4992
Country : US
Telephone Number : 724-705-4311
Fax Number :
Provider Business Practice Location Address
First Line : 1159 BAYBERRY DR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-4992
Country : US
Telephone Number : 724-705-4311
Fax Number :
Authorized Official
Title or Position : OWNER/ PHYSICAL THERAPIST
Name : KELSEY HARRIS
Credential : PT, DPT, RPSFC
Telephone Number : 724-705-4311
Provider Enumeration Date : 12/21/2021
Last Update Date : 02/04/2022

Similar Medicare Providers

1639020514 — KATELYNN MCFALL DPT
Practice Location Address:
1159 BAYBERRY DR
CANONSBURG, PA
15317-4992
Practice Phone: 724-585-8145
Practice Fax:
1659901858 — KELSEY ANN HARRIS PT, DPT, RPSFC
Practice Location Address:
1159 BAYBERRY DR
CANONSBURG, PA
15317-4992
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Practice Fax:
1720719396 — KATHERINA ALLEGRA SCHROCK DPT
Practice Location Address:
1159 BAYBERRY DR
CANONSBURG, PA
15317-4992
Practice Phone: 724-705-4311
Practice Fax:
1184352288 — ANNELIES LAYTON OTR/L
Practice Location Address:
1159 BAYBERRY DR
CANONSBURG, PA
15317-4992
Practice Phone: 724-705-4311
Practice Fax:
1780393702 — HILARY BEGG
Practice Location Address:
1159 BAYBERRY DR
CANONSBURG, PA
15317-4992
Practice Phone: 724-989-1264
Practice Fax:
1275235178 — SHARON DENISE NOVALIS PHD, OTR/L
Practice Location Address:
1159 BAYBERRY DR
CANONSBURG, PA
15317-4992
Practice Phone: 724-705-4311
Practice Fax:

Directions to “NEUROAXIS REHABILITATION SERVICES ” Practice Location

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