Provider Demographics
NPI:1235134248
Name:AFFILIATED REHABILITATION CENTERS
Entity Type:Organization
Organization Name:AFFILIATED REHABILITATION CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FABER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:724-282-3520
Mailing Address - Street 1:301 1ST ST
Mailing Address - Street 2:STE 100
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4756
Mailing Address - Country:US
Mailing Address - Phone:724-282-3520
Mailing Address - Fax:724-282-6624
Practice Address - Street 1:301 1ST ST
Practice Address - Street 2:STE 100
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4756
Practice Address - Country:US
Practice Address - Phone:724-282-3520
Practice Address - Fax:724-282-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003596L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA057131Medicare ID - Type UnspecifiedMC PROVIDER #