MEDICARE: THE INJURY INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
2	2084N0400X	Neurology Physician
3	213ES0103X	Foot & Ankle Surgery Podiatrist
4	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1043618390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INJURY INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 1628
Second Line	:
City	:	HORSHAM
State	:	PA
Zip	:	19044-6628
Country	:	US
Telephone Number	:	215-830-9991
Fax Number	:	215-830-0175

Provider Business Practice Location Address
First Line	:	2487 GRANT AVE
Second Line	:	#89
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1004
Country	:	US
Telephone Number	:	215-360-7419
Fax Number	:	215-464-0174

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	SEAN COSENZA
Credential	:
Telephone Number	:	215-830-9991

Provider Enumeration Date	:	12/18/2014
Last Update Date	:	08/23/2023

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Directions to “THE INJURY INSTITUTE ” Practice Location

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