Healthcare Provider Details

I. General information

NPI: 1326064999
Provider Name (Legal Business Name): MAXIMUM REHAB,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 S STATE RD
SPRINGFIELD PA
19064-1638
US

IV. Provider business mailing address

57 S STATE RD
SPRINGFIELD PA
19064-1638
US

V. Phone/Fax

Practice location:
  • Phone: 610-604-4800
  • Fax: 610-604-4815
Mailing address:
  • Phone: 610-604-4800
  • Fax: 610-604-4815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT006646L
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DR. MAUREEN G OLEARY
Title or Position: OWNER
Credential: PT, DPT
Phone: 610-604-4800