MEDICARE: REHAB ASSOCIATES, LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1184707382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1245
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-5245
Country	:	US
Telephone Number	:	724-465-3496
Fax Number	:	215-413-4682

Provider Business Practice Location Address
First Line	:	1215 MULBERRY ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1130
Country	:	US
Telephone Number	:	334-262-6161
Fax Number	:	334-834-1705

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	MRS. CYNTHIA L. GOLDBERG
Credential	:
Telephone Number	:	610-644-7824

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	08/05/2014

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