VINCERA REHAB, LLC


Address: 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1306
Phone: 2675923200

VINCERA REHAB, LLC (NPI# 1346680675) 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) 1346680675
Entity Type Organization
Organization Name VINCERA REHAB, LLC
Practice Address 1200 Constitution Ave
Suite 210
Philadelphia
PA 19112-1306
Practice Telephone 2675923200
Enumeration Date 2013-07-01
Last Update Date 2018-03-17
Authorized Official Name JAMES BRENNAN (PHYSICAL THERAPIST)
Authorized Official Telephone 2675923200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
205 Tuckerton Rd Ste C, Medford, NJ 080558817 6099758205 8445281795

Office Location

Street Address 1200 CONSTITUTION AVE
SUITE 210
City PHILADELPHIA
State PA
Zip Code 19112-1306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437196482 William Clark Meyers Surgery 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 2006-05-31
1538716378 Rachel Stephanie Hoffman Physical Therapist 1200 Constitution Ave, Philadelphia, PA 19112-1329 2019-08-26
1912371048 Core Performance Physicians Psychiatry & Neurology 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 2015-12-01
1558730010 Alex Skacel Physical Therapist 1200 Constitution Ave, Philadelphia, PA 19112-1329 2015-09-15
1780065847 Brooke Havens Specialist/Technologist 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 2015-06-15
1518366517 Core Performance Physicians, LLC Surgery 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 2014-08-15
1699186940 Robyn Mccrossin Physical Therapist 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1329 2014-05-08
1235571605 Cara Marzano Physical Therapist 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1306 2013-07-25
1366886913 Vincera Surgery Center, LLC Clinic/Center 1200 Constitution Ave, Suite 100, Philadelphia, PA 19112-1306 2013-04-25
1396084497 Independence Imaging, LLC Clinic/Center 1200 Constitution Ave, Suite 120, Philadelphia, PA 19112-1329 2013-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265950802 M&m Surgical Center PC Clinic/Center 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 2017-09-05
1710114293 Riverview Surgery Center At The Navy Yard Lp Clinic/Center Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 2009-06-11
1023136942 Susan Elizabeth Fredericks Physician Assistant 1 Crescent Drive Suite 100, Navy Yard Corporate Center, Philadelphia, PA 19112 2007-03-27
1023132867 Healthmark, Incorporated Clinic/Center 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 2007-03-19
1932526258 Anne Catherine Kane Otolaryngology 3 Crescent Dr, Philadelphia, PA 19112 2014-03-25
1255539896 Sheldon Gottlieb Physical Medicine & Rehabilitation 1 Crescent Dr, Suite 100, Philadelphia, PA 19112 2007-07-05
1407074750 Jennifer L Johansen Pharmacist 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 2007-04-23
1679981708 Andrew Trofa Internal Medicine 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 2014-08-01
1508029463 Robert Williams Carr Preventive Medicine 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 2008-07-09
1952947152 Navy Yard Dental Associates, Pllc Dentist 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 2019-11-22
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1700307329 Bones Fitness Partnerships Clinic/Center 1528 Walnut St Ste 300, Philadelphia, PA 19102-3626 2017-07-05
1659811354 Ascend Orthopaedics Clinic/Center 1500 Walnut St Ste 7001a, Philadelphia, PA 19102-3523 2017-02-28
1689067472 Mydoc Urgent Care Clinic/Center 1420 Locust St Unit R1a, Philadelphia, PA 19102-4223 2015-03-18
1205228160 Jerry A Toomer Clinic/Center 1610 Cecil B Moore Ave, Philadelphia, PA 19121-3210 2015-03-02
1568629681 South Philadelphia Ps Clinic/Center 1 Reed St, Philadelphia, PA 19147-5501 2008-05-16
1356543615 Pt-one, LLC Clinic/Center 1835 Market St, 2nd Floor, Philadelphia, PA 19103-2968 2007-05-31
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Competitor

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City PHILADELPHIA
Zip Code 19112

Improve Information

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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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