Provider Demographics
NPI:1407915507
Name:STEPPING STONES REHABILITATION SERVICES INC PC
Entity Type:Organization
Organization Name:STEPPING STONES REHABILITATION SERVICES INC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:570-366-3722
Mailing Address - Street 1:215 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1900
Mailing Address - Country:US
Mailing Address - Phone:570-366-3722
Mailing Address - Fax:570-366-3781
Practice Address - Street 1:215 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1900
Practice Address - Country:US
Practice Address - Phone:570-366-3722
Practice Address - Fax:570-366-3781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017960960007Medicaid
PA66871OtherGEISINGER
PA02981500OtherBLUE CROSS
044477PLDMedicare ID - Type Unspecified