ERIE MEDICAL & REHAB CENTER INC (NPI# 1053573915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053573915 |
| Entity Type | Organization |
| Organization Name | ERIE MEDICAL & REHAB CENTER INC |
| Practice Address |
3901 Liberty St Erie PA 16509-1689 |
| Practice Telephone | 8148665559 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | JOHN A LUPO (PRESIDENT) |
| Authorized Official Telephone | 8148665559 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | OS008755L | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS008755L | PA | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | DC005039L | PA | Suppliers |
| Y | 111N00000X | Chiropractor | DC005039L | PA | Chiropractic Providers |
| Street Address |
3901 LIBERTY ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404937 | Frederick J Tomassi | Podiatrist | 3901 Liberty St, Erie, PA 16509-1621 | 2005-08-17 |
| 1891229480 | Kimberly Lupo | Spec/Tech, Health Info | 3901 Liberty St, Erie, PA 16509-1689 | 2017-04-20 |
| 1306167564 | Danielle Teresa Sanders | Student in an Organized Health Care Education/Training Program | 3901 Liberty St, Erie, PA 16509-1689 | 2010-06-22 |
| 1144315284 | John Alfred Lupo | Chiropractor | 3901 Liberty St, Erie, PA 16509-1689 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831304 | Tori Elizabeth Niggel | Chiropractor | 2501 Palermo Dr Ste C, Erie, PA 16506-7210 | 2019-09-25 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1194385336 | Joshua Conrad Briggs | Chiropractor | 2700 W 21st St Ste 8, Erie, PA 16506-6916 | 2019-06-19 |
| 1689230815 | Amelia Marie Gray | Chiropractor | 4864 Buffalo Rd, Erie, PA 16510-2394 | 2019-05-13 |
| 1356844807 | Koziarski Chiropractic, LLC | Chiropractor | 1535 W 8th St Ste A-5, Erie, PA 16505-5005 | 2018-03-12 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1770956575 | Pleasantview Chiropractic, LLC | Chiropractor | 715 E 37th St, Erie, PA 16504-1727 | 2015-11-03 |
| 1811309610 | Dr. Jason Cardinali | Chiropractor | 100 Pennbriar Dr, Erie, PA 16509-6610 | 2014-05-28 |
| 1316296015 | Joint Chiropractic, LLC | Chiropractor | 152 W 12th St, Erie, PA 16501-1725 | 2012-09-10 |
| 1881962009 | Justin K. Cole | Chiropractor | 515 Briggs St, Suite A, Erie, CO 80516-0196 | 2011-12-02 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.