Provider Demographics
NPI:1942264429
Name:ALEXANDER SPRING REHAB, INC
Entity Type:Organization
Organization Name:ALEXANDER SPRING REHAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-245-2341
Mailing Address - Street 1:1 TYLER CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7913
Mailing Address - Country:US
Mailing Address - Phone:717-245-2341
Mailing Address - Fax:717-245-9672
Practice Address - Street 1:1 TYLER CT
Practice Address - Street 2:SUITE 200
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7913
Practice Address - Country:US
Practice Address - Phone:717-245-2341
Practice Address - Fax:717-245-9672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2008-01-08
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
PA506259OtherBLUE SHIELD
PA273790OtherHEALTH AMERICA
PA02385100OtherCAPITAL BLUE CROSS
PA0580966OtherAETNA
PA506259OtherBLUE SHIELD
PA394521Medicare ID - Type UnspecifiedMEDICARE