Provider Demographics
NPI:1376908459
Name:IN-SYNC REHABILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:IN-SYNC REHABILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MCLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-999-0245
Mailing Address - Street 1:111 E CHURCH ST STE B
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-1257
Mailing Address - Country:US
Mailing Address - Phone:724-238-2099
Mailing Address - Fax:724-238-2119
Practice Address - Street 1:111 E CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-1257
Practice Address - Country:US
Practice Address - Phone:724-238-2099
Practice Address - Fax:724-238-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10076833490007Medicaid
PA10076833490007Medicaid