Provider Demographics
NPI:1861500233
Name:MEDICAL REHABILITATION SYSTEMS, LLC
Entity Type:Organization
Organization Name:MEDICAL REHABILITATION SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAMINIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-602-2740
Mailing Address - Street 1:4538 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-1364
Mailing Address - Country:US
Mailing Address - Phone:814-864-6650
Mailing Address - Fax:814-806-2557
Practice Address - Street 1:12580 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-3310
Practice Address - Country:US
Practice Address - Phone:301-895-5793
Practice Address - Fax:301-358-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2023-08-22
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
MD891844-01OtherCAREFIRST BCBS OF MD
GA65BBDDMMedicare PIN
MD891844-01OtherCAREFIRST BCBS OF MD
SC6679Medicare PIN