Healthcare Provider Details
I. General information
NPI: 1336006576
Provider Name (Legal Business Name): GATEWAY REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
426 GEORGE ST
BRADDOCK PA
15104-1606
US
IV. Provider business mailing address
311 ROUSER RD
MOON TOWNSHIP PA
15108-6801
US
V. Phone/Fax
- Phone: 412-604-8912
- Fax: 724-682-3037
- Phone: 412-746-7053
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
HELMS
Title or Position: CONTRACT/LICENSING ADMINISTRATOR
Credential:
Phone: 412-746-7053