Healthcare Provider Details

I. General information

NPI: 1194704890
Provider Name (Legal Business Name): REDSTONE REHABILITATION GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 08/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 WAYLAND SMITH DR SUITE A
UNIONTOWN PA
15401-2677
US

IV. Provider business mailing address

150 WAYLAND SMITH DR SUITE A
UNIONTOWN PA
15401-2677
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-8200
  • Fax: 724-437-6673
Mailing address:
  • Phone: 724-437-8200
  • Fax: 724-437-6673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
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: MR. FREDERICK GAGGIANI
Title or Position: CEO
Credential: MPT
Phone: 724-785-2853