Healthcare Provider Details

I. General information

NPI: 1134676075
Provider Name (Legal Business Name): PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201B N CHURCH ST SUITE 307
HAZLE TOWNSHIP PA
18202-1455
US

IV. Provider business mailing address

PO BOX 392573
PITTSBURGH PA
15251-9573
US

V. Phone/Fax

Practice location:
  • Phone: 570-455-7108
  • Fax: 570-455-8835
Mailing address:
  • Phone: 724-584-5739
  • Fax: 724-343-4068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ERIN MCKINNEY
Title or Position: DIRECTOR, RCM SUPPORT
Credential:
Phone: 412-339-1063