Healthcare Provider Details

I. General information

NPI: 1215633854
Provider Name (Legal Business Name): LIFELINE THERAPY UPPER SAINT CLAIR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MCMURRAY RD
UPPER SAINT CLAIR PA
15241-1654
US

IV. Provider business mailing address

3824 NORTHERN PIKE STE 660
MONROEVILLE PA
15146-2141
US

V. Phone/Fax

Practice location:
  • Phone: 412-871-3890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER BREHM
Title or Position: CEO/PRESIDENT
Credential:
Phone: 412-576-4338