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NPI Code Detail

MEDICARE: SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC

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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1922152875
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 : 922 S MISSOURI AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-4298
Country : US
Telephone Number : 727-441-4549
Fax Number : 727-441-4540
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

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

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