MEDICARE: SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC

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	:	1639223597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC

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	:	6474 RIDGE RD
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-6748
Country	:	US
Telephone Number	:	727-846-0547
Fax Number	:	727-847-0755

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	10/14/2025

Similar Medicare Providers

1578607271 — KATHLEEN A KULESA
Practice Location Address:

6474 RIDGE RD
PORT RICHEY, FL
34668-6748

Practice Phone: 278-460-5477
Practice Fax: 727-847-0755

1417064239 — BRIAN HALL
Practice Location Address:

6474 RIDGE RD
PORT RICHEY, FL
34668-6748

Practice Phone: 727-846-0547
Practice Fax: 727-847-0755

1649437161 — JS PHARMACY LLC
Practice Location Address:

6416 RIDGE RD
PORT RICHEY, FL
34668-6748

Practice Phone: 727-847-2211
Practice Fax: 727-847-2212

1891938585 — P. JOSEPH GIGLIO D.O.P.A.
Practice Location Address:

6448 RIDGE RD
PORT RICHEY, FL
34668-6748

Practice Phone: 727-842-5020
Practice Fax: 727-847-7579

1407251465 — J'S PHARMACY
Practice Location Address:

6416 RIDGE RD
PORT RICHEY, FL
34668-6748

Practice Phone: 727-847-2211
Practice Fax: 727-847-2212

1710357413 — CLARA DANZEISEN PT, DPT
Practice Location Address:

6474 RIDGE RD
PORT RICHEY, FL
34668-6748

Practice Phone: 727-846-0547
Practice Fax: 727-847-0755

Directions to “SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.