Provider Demographics
NPI:1538184411
Name:ALTERNATIVE REHAB INSTITUTE
Entity type:Organization
Organization Name:ALTERNATIVE REHAB INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-772-9800
Mailing Address - Street 1:1740 SOUTH ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1514
Mailing Address - Country:US
Mailing Address - Phone:215-772-9800
Mailing Address - Fax:215-772-0329
Practice Address - Street 1:1740 SOUTH ST
Practice Address - Street 2:SUITE 305
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19146-1514
Practice Address - Country:US
Practice Address - Phone:215-772-9800
Practice Address - Fax:215-772-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA048239Medicare ID - Type Unspecified