MEDICARE: PR ACQUISITION CORPORATION

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	261QP2000X	Physical Therapy Clinic/Center
2	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1952362709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PR ACQUISITION CORPORATION

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:	LEGAL DEPT
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6048 S DURANGO DR
Second Line	:	STE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1781
Country	:	US
Telephone Number	:	702-260-6238
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL TARVIN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	03/24/2015

Similar Medicare Providers

1174483044 — CASSANDRA LARENTE DPT
Practice Location Address:

6048 S DURANGO DR STE 100
LAS VEGAS, NV
89113-1781

Practice Phone: 702-260-6238
Practice Fax: 702-263-6530

1205062627 — ANNA URSZULA SZOSTAK CADC
Practice Location Address:

6048 S DURANGO DR STE 115
LAS VEGAS, NV
89113-1781

Practice Phone: 702-815-1550
Practice Fax:

1528387909 — DRS MEDICAL
Practice Location Address:

6048 S DURANGO DR
LAS VEGAS, NV
89113-1781

Practice Phone: 702-896-2898
Practice Fax:

1720328578 — TODNEE L BOYD LCPC, LCADC
Practice Location Address:

6048 S DURANGO DR STE 115
LAS VEGAS, NV
89113-1781

Practice Phone: 702-815-1550
Practice Fax:

1952769192 — GOLDA IVASHKOV HOGAN B.S.
Practice Location Address:

6048 S DURANGO DR STE 115
LAS VEGAS, NV
89113-1781

Practice Phone: 702-815-1550
Practice Fax:

1215470778 — LILIAN KAYANO LCSW
Practice Location Address:

6048 S DURANGO DR STE 115
LAS VEGAS, NV
89113-1781

Practice Phone: 702-815-1550
Practice Fax:

Directions to “PR ACQUISITION CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.