MEDICARE: PHOENIX REHABILITATION AND HEALTH SERVICES, 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	225100000X	Physical Therapist

Other Identifiers

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

General Provider Information

NPI Number	:	1710435292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX REHABILITATION AND HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 392573
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9573
Country	:	US
Telephone Number	:	724-343-4060
Fax Number	:	724-343-4069

Provider Business Practice Location Address
First Line	:	21 SOUTH PINE STREET
Second Line	:	HERITAGE MEDICAL CENTER
City	:	ELVERSON
State	:	PA
Zip	:	19520-9720
Country	:	US
Telephone Number	:	610-286-0977
Fax Number	:	610-286-0986

Authorized Official
Title or Position	:	DIRECTOR, RCM SUPPORT
Name	:	ERIN MCKINNEY
Credential	:
Telephone Number	:	412-339-1063

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	02/26/2025

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