Provider Demographics
NPI:1316998966
Name:CONFORTI REHABILITATION SERVICES, INC.
Entity type:Organization
Organization Name:CONFORTI REHABILITATION SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:CLAUDE
Authorized Official - Last Name:CONFORTI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:717-731-6094
Mailing Address - Street 1:110 NORTH 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043
Mailing Address - Country:US
Mailing Address - Phone:717-731-6094
Mailing Address - Fax:717-731-6199
Practice Address - Street 1:110 NORTH 7TH STREET
Practice Address - Street 2:
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043
Practice Address - Country:US
Practice Address - Phone:717-731-6094
Practice Address - Fax:717-731-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02852000OtherCAPITAL BLUE CROSS
PA1458659OtherHIGHMARK BLUE SHIELD
PA091799Medicare ID - Type Unspecified