Healthcare Provider Details

I. General information

NPI: 1336363167
Provider Name (Legal Business Name): APEX MEDICAL AND REHAB, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 04/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 GARRETT RD
UPPER DARBY PA
19082-2303
US

IV. Provider business mailing address

32 GARRETT RD
UPPER DARBY PA
19082-2303
US

V. Phone/Fax

Practice location:
  • Phone: 610-352-8812
  • Fax: 610-352-5960
Mailing address:
  • Phone: 610-352-8812
  • Fax: 610-352-5960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELO KARAKASIS
Title or Position: PRESIDENT
Credential: DC
Phone: 610-352-8812