Provider Demographics
NPI:1275536724
Name:REHAB MOBILITY SPECIALISTS, INC
Entity Type:Organization
Organization Name:REHAB MOBILITY SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-244-7743
Mailing Address - Street 1:922 GRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-1632
Mailing Address - Country:US
Mailing Address - Phone:724-244-7743
Mailing Address - Fax:724-930-8031
Practice Address - Street 1:922 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-1632
Practice Address - Country:US
Practice Address - Phone:724-244-7743
Practice Address - Fax:724-930-8031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-28
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004717L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1837960OtherHIGHMARK
PA0831389Medicare ID - Type Unspecified
PA083139Medicare PIN
PA1837960OtherHIGHMARK
OH9361071Medicare PIN