Provider Demographics
NPI:1508042383
Name:PHYSICAL REHABILITATION MANAGEMENT SERVICES, INC
Entity Type:Organization
Organization Name:PHYSICAL REHABILITATION MANAGEMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:CHRISTOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-865-9003
Mailing Address - Street 1:480 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8936
Mailing Address - Country:US
Mailing Address - Phone:800-865-9003
Mailing Address - Fax:724-206-1562
Practice Address - Street 1:480 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8936
Practice Address - Country:US
Practice Address - Phone:800-865-9003
Practice Address - Fax:724-206-1562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies