MEDICARE: REHAB ASSOCIATES, 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1629087150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB ASSOCIATES, LLC

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

Provider Business Practice Location Address
First Line	:	1391 E HIGHLAND AVE
Second Line	:	SUITE 103
City	:	SELMA
State	:	AL
Zip	:	36703-3204
Country	:	US
Telephone Number	:	334-875-6100
Fax Number	:	334-875-6747

Authorized Official
Title or Position	:	VICE PRESIDENT AND SECRETARY
Name	:	MR. MICHAEL E TARVIN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	11/20/2018

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