Provider Demographics
NPI:1942248612
Name:MEDICAL REHABILITATION, INC
Entity type:Organization
Organization Name:MEDICAL REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS-HOUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-622-4314
Mailing Address - Street 1:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:412-622-4314
Mailing Address - Fax:412-622-4882
Practice Address - Street 1:101 NORTH MEADOWS DRIVE
Practice Address - Street 2:SUITE 125
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:412-622-4314
Practice Address - Fax:412-622-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007749150005Medicaid
PA123202Medicare ID - Type Unspecified