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

General Provider Information

NPI Number	:	1962112334
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	:	15251-9500
Country	:	US
Telephone Number	:	704-343-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 W LINCOLN AVE
Second Line	:
City	:	MYERSTOWN
State	:	PA
Zip	:	17067-2327
Country	:	US
Telephone Number	:	717-610-4347
Fax Number	:	717-641-7300

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

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	02/26/2025

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