GLENDALE REHABILITATION INC. (NPI# 1265780993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265780993 |
| Entity Type | Organization |
| Organization Name | GLENDALE REHABILITATION INC. |
| Practice Address |
850 Main Street Suite 4 Coalport PA 16627-0207 |
| Practice Telephone | 8146725700 |
| Practice Fax Number | 8146725702 |
| Mailing Telephone | 8146725700 |
| Mailing Fax Number | 8146725702 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MR. JOHN D BURMEISTER JR. (PRESIDENT) |
| Authorized Official Telephone | 8146725700 |
| Authorized Official Credential | B.S.P.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT006763-L | PA | Ambulatory Health Care Facilities |
| Street Address |
850 MAIN STREET SUITE 4 |
| City | COALPORT |
| State | PA |
| Zip Code | 16627-0207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811972995 | Jay A Robinson | Family Medicine | 850 Main Street, Coalport, PA 16627-0375 | 2005-12-12 |
| 1356838866 | Kinetics Counseling | Community/Behavioral Health | 850 Main Street, Coalport, PA 16627-0001 | 2018-04-19 |
| 1922501857 | Leah Marie Geissinger | Physical Therapist | 850 Main Street, Coalport, PA 16627-0207 | 2018-03-16 |
| 1255843066 | Deborah Jo Savino | Dental Hygienist | 850 Main Street, Coalport, PA 16627-0375 | 2017-11-02 |
| 1487107330 | Lindsey Elizabeth Link | Physician Assistant | 850 Main Street, Coalport, PA 16627 | 2016-07-27 |
| 1407250343 | Jacy Lenai Walker | Physical Therapist | 850 Main Street, Suite 4, Coalport, PA 16627 | 2014-10-21 |
| 1619225828 | Staci Kephart | Physician Assistant | 850 Main Street, Coalport, PA 16627 | 2012-08-20 |
| 1346596061 | Daniel Dotts | Physical Therapist | 850 Main Street, Suite 4, Coalport, PA 16627 | 2012-07-31 |
| 1578848446 | Rachel Elizabeth Mock | Physician Assistant | 850 Main Street, Coalport, PA 16627-0375 | 2011-10-11 |
| 1083804827 | Mary Elizabeth Gabriel | Physical Therapist | 850 Main Street, Suite 4, Coalport, PA 16627-0207 | 2007-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225544661 | Shena A Duprez | Counselor | 122 53 Boulevard, Coalport, PA 16627 | 2017-12-21 |
| 1003090226 | Melissa Louise Reese | Pharmacist | 1564 Main St, Coalport, PA 16627 | 2007-12-24 |
| 1508874587 | Laura J Rizzo | Dentist | 549 Main Street, Coalport, PA 16627 | 2006-08-04 |
| 1033564307 | Marianne Rydbom | Pharmacist | 1564 Main Street, Coalport, PA 16627 | 2016-04-25 |
| 1578747796 | Joseph Leyo IIi | Pharmacist | 1564 Main Street, Coalport, PA 16627 | 2007-12-24 |
| 1104889559 | Leyos Inc | Pharmacy | 1564 Main Street, Coalport, PA 16627-0397 | 2006-04-07 |
| 1912426834 | Laura J Rizzo Dmd PC | Clinic/Center | 549 Main St, Coalport, PA 16627-8401 | 2017-09-12 |
| 1285623231 | Gregory P Gates | Dentist | 1800 Dakota Ridge Rd, Coalport, PA 16627-8975 | 2005-10-20 |
| 1265794408 | Kathy A. Palmer | Dietitian, Registered | 1459 Main St, Coalport, PA 16627-9322 | 2012-06-13 |
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639292063 | Cambrian Rehabilitation Associates, P.C. | Clinic/Center | 850 Main Street, Suite 4, Coalport, PA 16627-0207 | 2007-04-09 |
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| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
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| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
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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.