MEDICARE: NEUROAXIS REHABILITATION SERVICES

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1316887920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROAXIS REHABILITATION SERVICES

Provider Business Mailing Address
First Line	:	1159 BAYBERRY DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-4992
Country	:	US
Telephone Number	:	724-585-8145
Fax Number	:	724-270-3012

Provider Business Practice Location Address
First Line	:	135 TECHNOLOGY DR STE 100
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9549
Country	:	US
Telephone Number	:	724-585-8145
Fax Number	:	724-270-3012

Authorized Official
Title or Position	:	OWNER
Name	:	KELSEY ANN HARRIS
Credential	:	PT, DPT, CSRS, CNS
Telephone Number	:	724-705-4311

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Practice Location Address:

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