Provider Demographics
NPI:1952367831
Name:REBIMBAS, SILVIA (MPT ATC)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:REBIMBAS
Suffix:
Gender:F
Credentials:MPT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GREENWOOD SQ SUITE 320
Mailing Address - Street 2:3333 STREET RD
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020
Mailing Address - Country:US
Mailing Address - Phone:215-638-3597
Mailing Address - Fax:215-638-7430
Practice Address - Street 1:1 GREENWOOD SQ SUITE 320
Practice Address - Street 2:3333 STREET RD
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:215-638-3597
Practice Address - Fax:215-638-7430
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0169152251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1627595OtherBLUE CROSS
081622QXDMedicare ID - Type Unspecified