Provider Demographics
NPI:1164860508
Name:HIGHPOINT PAIN & REHABILITATION PHYSICIANS PC
Entity Type:Organization
Organization Name:HIGHPOINT PAIN & REHABILITATION PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-395-8888
Mailing Address - Street 1:700 HORIZON CIR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3907
Mailing Address - Country:US
Mailing Address - Phone:215-395-8888
Mailing Address - Fax:215-933-5608
Practice Address - Street 1:1500 HORIZON DR STE 102B
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3966
Practice Address - Country:US
Practice Address - Phone:215-395-8888
Practice Address - Fax:877-795-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014625174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty