Provider Demographics
NPI:1306852769
Name:REHABILITATION INNOVATIONS, IN
Entity Type:Organization
Organization Name:REHABILITATION INNOVATIONS, IN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GWINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OTR/L
Authorized Official - Phone:724-304-0030
Mailing Address - Street 1:2501 LEECHBURG RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-3060
Mailing Address - Country:US
Mailing Address - Phone:724-304-0030
Mailing Address - Fax:724-304-0035
Practice Address - Street 1:2501 LEECHBURG RD
Practice Address - Street 2:SUITE A
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3060
Practice Address - Country:US
Practice Address - Phone:724-304-0030
Practice Address - Fax:724-304-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3446732OtherAETNA HMO
PA0019467290002Medicaid
PA2114944OtherFIRST HEALTH
PA7936638OtherAETNA PPO
PA237320OtherHEALTH AMERICA