Provider Demographics
NPI:1578580924
Name:PHYSICAL MEDICINE & REHABILITATION EXPERTS
Entity Type:Organization
Organization Name:PHYSICAL MEDICINE & REHABILITATION EXPERTS
Other - Org Name:PMRX
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:412-366-1469
Mailing Address - Street 1:9365 MCKNIGHT RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5956
Mailing Address - Country:US
Mailing Address - Phone:412-366-8377
Mailing Address - Fax:412-630-9761
Practice Address - Street 1:9365 MCKNIGHT RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5956
Practice Address - Country:US
Practice Address - Phone:412-366-8377
Practice Address - Fax:412-630-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Not Answered2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008538890007Medicaid
PA1008538890007Medicaid