MEDICARE: MAGEE REHABILITATION HOSPITAL

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	283X00000X	Rehabilitation Hospital	135301	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	393038	OTHER	PA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265410047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGEE REHABILITATION HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 780616
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19178-0616
Country	:	US
Telephone Number	:	215-587-3129
Fax Number	:	215-587-9405

Provider Business Practice Location Address
First Line	:	1513 RACE ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19102
Country	:	US
Telephone Number	:	215-587-3129
Fax Number	:	215-587-9405

Authorized Official
Title or Position	:	CFO
Name	:	MR. STEPHEN V. DESTEFANO
Credential	:
Telephone Number	:	215-587-3332

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	08/01/2023

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Directions to “MAGEE REHABILITATION HOSPITAL ” Practice Location

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