=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023565793
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2016
-----------------------------------------------------
Last Update Date | 01/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 BETHLEHEM PIKE SUITE 2
-----------------------------------------------------
City | SELLERSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18960-1660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-257-3900
-----------------------------------------------------
Fax | 215-257-7545
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 392573
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15251-9573
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-343-4060
-----------------------------------------------------
Fax | 724-343-4069
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, RCM SUPPORT
-----------------------------------------------------
Name | ERIN MCKINNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-339-1063
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------