Basic Information
Provider Information | |||||||||
NPI: | 1144405044 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | REHLER | ||||||||
FirstName: | NICHOLAS | ||||||||
MiddleName: | E. | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | DPT | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 520 PHILADELPHIA ST | ||||||||
Address2: |   | ||||||||
City: | INDIANA | ||||||||
State: | PA | ||||||||
PostalCode: | 157013902 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7244637478 | ||||||||
FaxNumber: | 7244630931 | ||||||||
Practice Location | |||||||||
Address1: | 196 MATCH FACTORY PLACE | ||||||||
Address2: |   | ||||||||
City: | BELLEFONTE | ||||||||
State: | PA | ||||||||
PostalCode: | 16823 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8143553561 | ||||||||
FaxNumber: | 8143538235 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/09/2008 | ||||||||
LastUpdateDate: | 01/09/2008 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT006012L | PA | Y |   | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |   |
No ID Information.