Provider Demographics
NPI:1669491759
Name:FT. WASHINGTON REHABILITATION & FITNESS CENTER, INC.
Entity type:Organization
Organization Name:FT. WASHINGTON REHABILITATION & FITNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:SANES
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-654-1520
Mailing Address - Street 1:270 COMMERCE DR
Mailing Address - Street 2:STE. 190
Mailing Address - City:FT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2405
Mailing Address - Country:US
Mailing Address - Phone:215-654-1520
Mailing Address - Fax:215-654-1529
Practice Address - Street 1:270 COMMERCE DR
Practice Address - Street 2:STE. 190
Practice Address - City:FT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2405
Practice Address - Country:US
Practice Address - Phone:215-654-1520
Practice Address - Fax:215-654-1529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP3096096OtherOXFORD HEALTH PLAN
PA1426092OtherIBC
PA026092OtherAMERIHEALTH
PA3104173OtherAETNA
PA066330Medicare ID - Type Unspecified