MEDICARE: CLEVELAND CLINIC REHABILITATION HOSPITALS, LLC

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
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1174990048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND CLINIC REHABILITATION HOSPITALS, LLC

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:	LEGAL
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2155 DANA AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207
Country	:	US
Telephone Number	:	440-934-0489
Fax Number	:

Authorized Official
Title or Position	:	VICE PREISDENT
Name	:	JOHN DUGGAN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	09/10/2025

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