Provider Demographics
NPI:1265605224
Name:REHABILITATION MANAGEMENT SPECIALISTS, LLC
Entity type:Organization
Organization Name:REHABILITATION MANAGEMENT SPECIALISTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNIELL
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP, DACRB
Authorized Official - Phone:484-821-0232
Mailing Address - Street 1:3805 NAZARETH PIKE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-1140
Mailing Address - Country:US
Mailing Address - Phone:484-821-0346
Mailing Address - Fax:484-821-0359
Practice Address - Street 1:3805 NAZARETH PIKE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-1140
Practice Address - Country:US
Practice Address - Phone:484-821-0346
Practice Address - Fax:484-821-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006207-L2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1146297OtherAMERIHEALTH MERCY
PA2141296000OtherIND. BC/BS GROUP
PA3000378OtherKHPC
PA265170001OtherKEYSTONE EAST
PA1445656OtherHIGHMARK BCARD
PA0265170000OtherIND. BC/BS
PA02754900OtherKHPC GROUP
PA2141296000OtherKEYSTONE EAST GROUP
PA7957156OtherAETNA
PA506314OtherAMERIHEALTH ADMIN.
PA506314OtherAMERIHEALTH ADMIN.