MEDICARE: LHM PHYSICAL THERAPY INSTITUTE LLC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1699517649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LHM PHYSICAL THERAPY INSTITUTE LLC

Provider Business Mailing Address
First Line	:	4750 LINDLE RD STE 100
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17111-2428
Country	:	US
Telephone Number	:	717-803-3342
Fax Number	:	717-974-8743

Provider Business Practice Location Address
First Line	:	3441 SIMPSON FERRY RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-6404
Country	:	US
Telephone Number	:	717-803-3342
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	GERALD MCKIM
Credential	:
Telephone Number	:	717-877-8469

Provider Enumeration Date	:	06/11/2024
Last Update Date	:	10/22/2024

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