MEDICARE: QUEST THERAPEUTIC SERVICES, INC.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	261QP2000X	Physical Therapy Clinic/Center
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist
4	225X00000X	Occupational Therapist
5	225XP0200X	Pediatric Occupational Therapist
6	2251P0200X	Pediatric Physical Therapist

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

NPI Number	:	1285767806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEST THERAPEUTIC SERVICES, INC.

Provider Business Mailing Address
First Line	:	461 CANN RD
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-1715
Country	:	US
Telephone Number	:	610-692-6362
Fax Number	:	610-692-0917

Provider Business Practice Location Address
First Line	:	461 CANN RD
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-1715
Country	:	US
Telephone Number	:	610-692-6362
Fax Number	:	610-692-0917

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SANDRA MCCLOSKEY
Credential	:
Telephone Number	:	610-692-6362

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/11/2016

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308