MEDICARE: PHOENIX REHABILITATION AND HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1134676075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX REHABILITATION AND HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 392573
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9573
Country	:	US
Telephone Number	:	724-584-5739
Fax Number	:	724-343-4068

Provider Business Practice Location Address
First Line	:	1201B N CHURCH ST
Second Line	:	SUITE 307
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202-1455
Country	:	US
Telephone Number	:	570-455-7108
Fax Number	:	570-455-8835

Authorized Official
Title or Position	:	DIRECTOR, RCM SUPPORT
Name	:	ERIN MCKINNEY
Credential	:
Telephone Number	:	412-339-1063

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	02/26/2025

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