MEDICARE: SAINT VINCENT REHAB SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2083X0100X	Occupational Medicine Physician
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1275514564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT VINCENT REHAB SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	153 E 13TH ST STE 1300
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16503-1035
Country	:	US
Telephone Number	:	814-860-5000
Fax Number	:	814-860-5050

Provider Business Practice Location Address
First Line	:	4247 W RIDGE RD STE 104
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16506-1746
Country	:	US
Telephone Number	:	814-338-7249
Fax Number	:	814-838-2661

Authorized Official
Title or Position	:	SR. PROVIDER ENROLLMENT SPECIALIST
Name	:	TAMARA L HATT
Credential	:
Telephone Number	:	814-452-5772

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	11/09/2020

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Directions to “SAINT VINCENT REHAB SOLUTIONS LLC ” Practice Location

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