Provider Demographics
NPI:1104390541
Name:PARAMOUNT REHABILITATION SERVICES LLC
Entity Type:Organization
Organization Name:PARAMOUNT REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:724-969-1020
Mailing Address - Street 1:3025 WASHINGTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3246
Mailing Address - Country:US
Mailing Address - Phone:724-969-1020
Mailing Address - Fax:724-969-1050
Practice Address - Street 1:3025 WASHINGTON RD STE 201
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3246
Practice Address - Country:US
Practice Address - Phone:724-969-1020
Practice Address - Fax:724-969-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty