MEDICARE: ALTERNATIVE REHAB INSTITUTE

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1538184411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE REHAB INSTITUTE

Provider Business Mailing Address
First Line	:	1740 SOUTH ST
Second Line	:	SUITE 305
City	:	PHILA
State	:	PA
Zip	:	19146-1514
Country	:	US
Telephone Number	:	215-772-9800
Fax Number	:	215-772-0329

Provider Business Practice Location Address
First Line	:	1740 SOUTH ST
Second Line	:	SUITE 305
City	:	PHILA
State	:	PA
Zip	:	19146-1514
Country	:	US
Telephone Number	:	215-772-9800
Fax Number	:	215-772-0329

Authorized Official
Title or Position	:	VP, DIRECTOR OF OPERATIONS
Name	:	MS. LISA A OLMO
Credential	:
Telephone Number	:	215-772-9800

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

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