MEDICARE: FT. WASHINGTON REHABILITATION & FITNESS CENTER, INC.

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P3096096	OTHER	PA	OXFORD HEALTH PLAN
2	1426092	OTHER	PA	IBC
3	026092	OTHER	PA	AMERIHEALTH
4	3104173	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1669491759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FT. WASHINGTON REHABILITATION & FITNESS CENTER, INC.

Provider Business Mailing Address
First Line	:	270 COMMERCE DR
Second Line	:	STE. 190
City	:	FT WASHINGTON
State	:	PA
Zip	:	19034-2405
Country	:	US
Telephone Number	:	215-654-1520
Fax Number	:	215-654-1529

Provider Business Practice Location Address
First Line	:	270 COMMERCE DR
Second Line	:	STE. 190
City	:	FT WASHINGTON
State	:	PA
Zip	:	19034-2405
Country	:	US
Telephone Number	:	215-654-1520
Fax Number	:	215-654-1529

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. GLORIA SANES WOODS
Credential	:
Telephone Number	:	215-654-1520

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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