Provider Demographics
NPI:1326937814
Name:R3BUILT PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:R3BUILT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-824-1696
Mailing Address - Street 1:5840A OLD CARLISLE RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-2256
Mailing Address - Country:US
Mailing Address - Phone:717-824-1696
Mailing Address - Fax:
Practice Address - Street 1:1593 S MOUNT JOY ST STE 101
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2832
Practice Address - Country:US
Practice Address - Phone:717-824-1696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy