PHOENIX REHABILITATION AND HEALTH SERVICES, INC. (NPI# 1760853972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760853972 |
| Entity Type | Organization |
| Organization Name | PHOENIX REHABILITATION AND HEALTH SERVICES, INC. |
| Practice Address |
1 Buffalo St Coudersport PA 16915-9435 |
| Mailing Address |
430 Innovation Dr Blairsville PA 15717-8096 |
| Practice Telephone | 8143200483 |
| Practice Fax Number | 8143200485 |
| Mailing Telephone | 7243434406 |
| Mailing Fax Number | 7243434069 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | ANTHONY GIANNETTA (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7243434060 |
| Authorized Official Credential | PT, DPT, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAID | 1019541330001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165328 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 121 Enclave Dr Ste A, New Castle, PA 16105-3207 | 2019-10-09 |
| 1871030205 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 159 Ajk Blvd, Lewisburg, PA 17837-7491 | 2017-01-24 |
| 1710435292 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 21 South Pine Street, Heritage Medical Center, Elverson, PA 19520-9720 | 2016-09-14 |
| 1902354400 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 71 North Juniata Street, Lewistown, PA 17044-2049 | 2016-09-14 |
| 1760930408 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 1169 N 4th St, Sunbury, PA 17801-1221 | 2016-09-12 |
| 1851848691 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 210 Hogan Blvd, Mill Hall, PA 17751-1905 | 2016-09-09 |
| 1710434477 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 809 N Market St, Suite 1, Selinsgrove, PA 17870-2009 | 2016-09-09 |
| 1588111306 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 23 Industrial Cir, Mifflintown, PA 17059-9572 | 2016-09-09 |
| 1255754339 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 1800 Daisy Street Ext Ste 360, Clearfield, PA 16830-3265 | 2014-01-27 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Phoenix Rehabilitation And Health Services, Inc. | 2000 Westinghouse Dr, Ste 200, Cranberry Township, PA 16066 |
| Street Address |
1 BUFFALO ST |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915-9435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837486 | Brian Mccusker | Physical Therapist | 1 Buffalo St, Suite 1, Coudersport, PA 16915-9423 | 2017-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
| 1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
| 1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| Find all providers in zip 16915 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742279 | Joshua Hoppe | Physical Therapist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-04-03 |
| 1952837486 | Brian Mccusker | Physical Therapist | 1 Buffalo St, Suite 1, Coudersport, PA 16915-9423 | 2017-05-03 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801857 | Laura Hackman | Physical Therapist | 165 Glen Dr Ste 8, Manchester, PA 17345-1336 | 2020-11-06 |
| 1245831866 | Sara M Feldman | Physical Therapist | 3401 N Broad St # D101, Philadelphia, PA 19140-5103 | 2020-11-02 |
| 1386244093 | Melissa Ann Volk | Physical Therapist | 621 Muhlenberg Dr, Trappe, PA 19426-2261 | 2020-10-30 |
| 1700485273 | Persevere Physical Therapy LLC | Physical Therapist | 1607 W Susquehanna Ave, Philadelphia, PA 19121-1619 | 2020-10-25 |
| 1942809579 | Aaron John Sacks | Physical Therapist | 839 Lincoln Ave # 3, West Chester, PA 19380-4562 | 2020-10-24 |
| 1891394441 | Penn State Health Community Medical Group, LLC | Physical Therapist | 1800 Center St Ste 1a110, Camp Hill, PA 17011-1702 | 2020-10-23 |
| 1235738907 | Lauren Nicole Haber | Physical Therapist | 13018 Sewell Rd, Philadelphia, PA 19116-1319 | 2020-10-22 |
| 1346849247 | Marissa Harrigan | Physical Therapist | 526 Cassingham Rd, Fairless Hills, PA 19030-3620 | 2020-10-21 |
| 1407455488 | Paul Canty Jr. | Physical Therapist | 7345 Frankford Ave, Philadelphia, PA 19136-3930 | 2020-10-21 |
| 1942809199 | Kristina Fleck | Physical Therapist | 1000 Carlisle St Ste 1175, Hanover, PA 17331-1191 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | COUDERSPORT |
| Zip Code | 16915 |
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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.