LIFELINE THERAPY, LLC


Address: 4000 Waterdam Plaza Drive, Suite 260, Mcmurray, PA 15317
Phone: 7249415340

LIFELINE THERAPY, LLC (NPI# 1154318509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154318509
Entity Type Organization
Organization Name LIFELINE THERAPY, LLC
Other Organization Name LIFELINE THERAPY MCMURRAY
Practice Address 4000 Waterdam Plaza Drive
Suite 260
Mcmurray
PA 15317
Mailing Address 100 Forest Hills Plz
Pittsburgh
PA 15221-5211
Practice Telephone 7249415340
Practice Fax Number 7249415341
Mailing Telephone 4128292450
Mailing Fax Number 4128292468
Enumeration Date 2005-09-30
Last Update Date 2012-02-17
Authorized Official Name MR. CHRIS J BREHM (PRESIDENT/CEO)
Authorized Official Telephone 4128292450
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LIFELINE THERAPY MCMURRAY Doing Business As Name - Organization

Office Location

Street Address 4000 WATERDAM PLAZA DRIVE
SUITE 260
City MCMURRAY
State PA
Zip Code 15317

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1104315241 Jill Brandtonies Nurse Practitioner 5000 Waterdam Plaza Dr Ste 180, Canonsburg, PA 15317 2018-05-03
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1457873838 Sara Vallelunga Physician Assistant 62 Abbeywood Lane, Canonsburg, PA 15317 2017-07-07
1457770364 Skraitz Chiropractic PC Chiropractor 2476 Washington Road, Canonsburg, PA 15317 2014-04-08
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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Competitor

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City MCMURRAY
Zip Code 15317

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Dataset Information

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.

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