Healthcare Provider Details

I. General information

NPI: 1851721864
Provider Name (Legal Business Name): AT HOME THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 11/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 ELLWOOD CITY RD
ZELIENOPLE PA
16063-3904
US

IV. Provider business mailing address

1630 ELLWOOD CITY RD
ZELIENOPLE PA
16063-3904
US

V. Phone/Fax

Practice location:
  • Phone: 724-452-5700
  • Fax: 724-452-5701
Mailing address:
  • Phone: 724-452-5700
  • Fax: 724-452-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SCOTT FISHER
Title or Position: PRESIDENT
Credential: RN
Phone: 724-452-5700