=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578580924
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHYSICAL MEDICINE & REHABILITATION EXPERTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9365 MCKNIGHT RD SUITE 300
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-5956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-366-8377
-----------------------------------------------------
Fax | 412-630-9761
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9365 MCKNIGHT RD SUITE 300
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-5956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-366-8377
-----------------------------------------------------
Fax | 412-630-9761
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRACTICE MANAGER
-----------------------------------------------------
Name | MS. KIMBERLY H LEWIS
-----------------------------------------------------
Credential | M.B.A.
-----------------------------------------------------
Telephone | 412-366-1469
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081P2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------